Individual
JASMAIN MACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6272 HICKORY LANE CIR, UNION CITY, GA 30291-5507
(803) 920-5895
Mailing address
6272 HICKORY LANE CIR, UNION CITY, GA 30291-5507
(803) 920-5895
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0036590
OH
363LF0000X
Family Nurse Practitioner
2024030450
MO
363LF0000X
Family Nurse Practitioner
229320
AR
363LF0000X
Family Nurse Practitioner
26NJ15159700
NJ
363LF0000X
Family Nurse Practitioner
71015431A
IN
363LF0000X
Family Nurse Practitioner
APRN11033675
FL
363LF0000X
Family Nurse Practitioner
Primary
GAA-NP001528
GA
Other
Enumeration date
08/17/2023
Last updated
10/16/2024
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