Provider Demographics
NPI:1144861592
Name:STRICKLAND, KATHRYN ELISE (NP)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:ELISE
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:96 LONNIE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-6915
Mailing Address - Country:US
Mailing Address - Phone:912-665-9674
Mailing Address - Fax:912-216-3712
Practice Address - Street 1:790 VETERANS PKWY STE 101
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-3991
Practice Address - Country:US
Practice Address - Phone:912-463-4675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-07
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN274467363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily