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Search › Georgia › Gerontology Nurse Practitioner

Kristti Lei Tan, AGNP-BC

NPI 1679175236 · on the registry since 2020

Practice

Address
4645 Timber Ridge Dr Ste 100
Douglasville, GA 30135
Phone
(678) 702-3376
Organisation at this address
Georgia Urology Pa
Douglas County Dialysis, Llc
Douglas Dermatology And Skin Cancer Specialists Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Gerontology Nurse Practitioner
363LG0600X
Also registered as
Adult Health Nurse Practitioner
Adult Health Nurse Practitioner
Licence states on file
TX, TN, NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia