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Wendy Nicole Livingston, ARNP

Nurse Practitioner, Family in Valdosta, GA. Individual provider (NPI-1).

NPI number1053891069
StatusActive
Last updated in NPPESAug 19, 2018

Details

NPI
1053891069
Entity type
Individual (NPI-1)
Name
Mrs. Wendy Nicole Livingston
Credential
ARNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 19, 2018
Last updated
Aug 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family143286GAYes

Practice location

2501 N Patterson St
Valdosta, GA 31602-1785

Phone 229-333-1000

Mailing address

39 Wendy Ln
Lakeland, GA 31635-6900

Phone 229-563-0527

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