Individual provider · NPI-1
Kalnettie Deshond Cayman, MSN, APRN, FNP-BC
Nurse Practitioner, Family · Peachtree City, GA
NPI number1144862806
StatusActive
Last updated in NPPESJan 29, 2024
Details
- NPI
- 1144862806
- Entity type
- Individual (NPI-1)
- Name
- Kalnettie Deshond Cayman
- Credential
- MSN, APRN, FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2019
- Certification date
- Jan 29, 2024
- Last updated
- Jan 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN245062 | GA | Yes |
| 363L00000X | Nurse Practitioner | 10632 | WI |
Other names
- Kalnettie Deshond Andrews (Former Name)
Practice location
101 Lexington CirPeachtree City, GA 30269-6845
Phone 770-486-1639
Mailing address
101 Lexington CirPeachtree City, GA 30269-6845
Other practice locations
310 W Main St
Sparta, WI 54656-2170
Sparta, WI 54656-2170
Phone 608-785-0940
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