Samantha Lee Ann Privett, AGACNP
Nurse Practitioner, Acute Care in Athens, GA. Individual provider (NPI-1).
NPI number1497239461
StatusActive
Last updated in NPPESJan 2, 2025
Details
- NPI
- 1497239461
- Entity type
- Individual (NPI-1)
- Name
- Samantha Lee Ann Privett
- Credential
- AGACNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2018
- Certification date
- Dec 31, 2024
- Last updated
- Jan 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | RN275926 | GA | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | RN275926 | GA |
Practice location
242 King Avenue, Suite 210Athens, GA 30606
Phone 706-475-1700
Mailing address
Po Box 742616Atlanta, GA 30374-2616
Phone 770-219-8420
Other practice locations
743 Spring St Ne
Gainesville, GA 30501-3715
Gainesville, GA 30501-3715
Phone 770-534-2020 · Fax 770-534-8025
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