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Contact Information

KEATA L ANTHONY, FNP
116 W MAIN ST
HENDERSON, TN38340-4003
 Phone: 731-989-0001
 Fax: 731-989-5151
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KEATA L ANTHONY · (Female)

NPI # 1952351355
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 05/10/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TN License # APN#6159
  • TN Medicaid 3908653
  • TN Other 4052228 BCBS
  • TN Other 621620777 TRICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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