Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LASSINA WILL KOIDIMA, AGACNP
Active Sole ProprietorLASSINA WILL KOIDIMA, AGACNP is a Acute Care Nurse Practitioner healthcare provider located in STATESBORO, Georgia. NPI 1710548771 is currently active in the NPPES registry. Verify at CMS.
Acute Care Nurse Practitioner · STATESBORO, GA
Registration Details
- NPI Number
- 1710548771
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2019 (7.1129323982486 yrs)
- Last Updated
- Nov 11, 2021
- License
-
RN220878 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1635 PONDSIDE DRSTATESBORO, GA, 304583777Browse GA providers · Browse ZIP 30458
- Phone
- 9125079077
- Primary Specialty
-
Acute Care Nurse Practitioner
363LA2100X
Other Acute Care Nurse Practitioner Providers in STATESBORO, GA
| Name | Credential | NPI |
|---|---|---|
| TIFFANY KREUN | ACNP | 1598155004 |
| WENDY FUTCH | NP | 1386010478 |
| MICHAEL DALY | NP | 1659748077 |
| MONA DENNISON SMITH | NURSE PRACTITIONER | 1669904884 |
| STEPHANIE LINDAMOOD | — | 1316467467 |
| JESSICA LYNN BOHANNON | AGACNP-BC, FNP-BC | 1699253435 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.