Individual provider · NPI-1

Cherial Lashawn Revell, Nurse Practitioner

Nurse Practitioner, Family · Columbus, GA

NPI number1770768848
StatusActive
Last updated in NPPESFeb 17, 2014

Details

NPI
1770768848
Entity type
Individual (NPI-1)
Name
Ms. Cherial Lashawn Revell
Credential
Nurse Practitioner
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 8, 2008
Last updated
Feb 17, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyRN127665GAYes
163W00000X Registered Nursern127665GA
163WG0000X Registered Nurse, General Practicern127665GA

Practice location

6801 River Rd
Suite 106
Columbus, GA 31904-3352

Phone 706-566-4288

Mailing address

7982 Nature Trl
Columbus, GA 31904-2156

Phone 706-761-1661

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