Deavers, Katherine Powe
Deavers, Katherine Powe is an individual health care provider with primary practice located at 655 Jesse Jewell Pkwy Se Ste B , Gainesville GA 30501-3854. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Deavers, Katherine Powe can be contacted via phone (678) 207-4500.Contact Information
Primary practice address
655 Jesse Jewell Pkwy Se Ste B
Gainesville GA 30501-3854
Phone: (678) 207-4500
Fax: (770) 536-0383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN100964 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN100964 | Georgia |
Profile Details
| NPI number | 1760466783 |
|---|---|
| LBN Legal business name | Deavers, Katherine Powe |
| Credentials | RN, MS, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Apr 17th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760466783 | NPPES |
| Georgia | Other | 571471 | WELLCARE |
| Georgia | MEDICAID | 738974330B | WELLCARE |
| Georgia | MEDICAID | 738974330C | WELLCARE |
| Georgia | Other | P00847058 | WELLCARE |
| Georgia | Other | 01341907 | WELLCARE |
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