Regina Mercer Ward, MSN, FNP-C
Nurse Practitioner, Family in Moultrie, GA. Individual provider (NPI-1).
NPI number1194208751
StatusActive
Last updated in NPPESApr 29, 2019
Details
- NPI
- 1194208751
- Entity type
- Individual (NPI-1)
- Name
- Regina Mercer Ward
- Credential
- MSN, FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 10, 2018
- Last updated
- Apr 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN197952 | GA | Yes |
| 363LF0000X | Nurse Practitioner, Family | F08180511 | GA |
Practice location
1724 Villa Dr SwMoultrie, GA 31768
Phone 229-921-1754
Mailing address
1724 Villa Dr SwMoultrie, GA 31768
Phone 229-921-1754
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