NEDRA S FORTSON

ALBANY, GA
NPI1568804987
Former NameNEDRA LACHELLE SPEIGHT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: GA  RN131505)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: GA  RN131505)
363LG0600X Nurse Practitioner, Gerontology
(Licence: GA  RN131505)
Enumeration Date2013-07-26
Last Update Date2014-08-19
Business Address
-- NEDRA S FORTSON AGPCNP-BC, RN
802 N JEFFERSON ST
ALBANY, GA 31701-2363
Phone number: 229-888-7445
Mailing Address
-- NEDRA S FORTSON AGPCNP-BC, RN
PO BOX 71802
ALBANY, GA 31708-1802
Phone number: 770-330-8496