Kelli Alicia Boatright
Nurse Practitioner, Family in Vidalia, GA. Individual provider (NPI-1).
NPI number1972287167
StatusActive
Last updated in NPPESJun 9, 2023
Details
- NPI
- 1972287167
- Entity type
- Individual (NPI-1)
- Name
- Kelli Alicia Boatright
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2023
- Certification date
- Jun 9, 2023
- Last updated
- Jun 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN295084 | GA | Yes |
Practice location
1 Meadows PkwyVidalia, GA 30474-8759
Phone 912-535-5555
Mailing address
1 Meadows PkwyVidalia, GA 30474-8759
Phone 912-535-5555
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All 35 Family Nurse Practitioner providers in Vidalia · All 528 providers in Vidalia
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