Individual
MRS. JAMIE LYNN HARRELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4061 VINEVILLE AVE, MACON, GA 31210-5039
(478) 757-7345
Mailing address
616 WINDSONG WAY CT, MACON, GA 31217-2805
(478) 972-2152
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN190897
GA
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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