Provider Demographics
NPI:1396891222
Name:GEIER, KATRINA M (NP)
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:M
Last Name:GEIER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KATRINA
Other - Middle Name:M
Other - Last Name:JOCEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 48089
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30604-8089
Mailing Address - Country:US
Mailing Address - Phone:706-389-3740
Mailing Address - Fax:706-389-3951
Practice Address - Street 1:1020 JAMESTOWN BLVD BLDG 200
Practice Address - Street 2:
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-4131
Practice Address - Country:US
Practice Address - Phone:706-769-0005
Practice Address - Fax:706-769-0403
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN323410363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics