IndividualActive
Anna Lavender, FNP-BC
NPI 1659840916 · Nurse Practitioner · Tifton, GA
Provider details
- NPI number
- 1659840916
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- RN223764 (GA)
Practice location
1430 US Highway 82 W Ste 105
Tifton, GA 31793-8010
Phone: (229) 388-0266
Mailing address
96 Newton Rd
Ashburn, GA 31714-3673
Registry dates
- Enumerated
- 2018-11-16
- Last updated
- 2018-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.