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Contact Information

KESHIA ABBOTT
228 W 4TH ST STE 200
COOKEVILLE, TN38501-2489
 Phone: 931-372-0405
 Fax: 931-372-0463
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KESHIA ABBOTT · (Female)

NPI Number 1700327236
Status Active
Credentials
Entity Individual
Enumeration date 03/16/2017
Last updated 04/17/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TN License # 22439
  • KY Medicaid 7100470230
  • TN Medicaid Q027421
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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