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:
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Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
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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