Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deliah Joy Provost-Boothe

Individual provider Family Nurse Practitioner · NPI 1891619631

Deliah Joy Provost-Boothe is a Family Nurse Practitioner in Covington, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2026

Practice location Address checks out

250 Shiver Blvd
Covington, GA 30016-1905
Phone: (678) 237-6470
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence XXXX (GA)

Record details

NPI number1891619631
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 5, 2026
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address250 Shiver Blvd, Covington, GA 30016-1905

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