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

Mrs. Nina Alice Keown, FNP

Individual provider Family Nurse Practitioner · NPI 1316299662

Mrs. Nina Alice Keown, FNP is a Nurse Practitioner in Valdosta, Georgia. Qualified in 2012, 14 years ago. Practices with Thacker Dermatology LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
14
Licensed in
GA
In the registry since
2012
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4233 Camelot Xing
Valdosta, GA 31602
Phone: (229) 469-4383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F0912212 (GA)

Record details

NPI number1316299662
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedOctober 11, 2012
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Thacker Dermatology Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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