Individual
JOSEPH WARREN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-9351
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-9351
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
RN211713
GA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN211713
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171669
TENNESSEE BOARD OF NURSING
TN
01
—
RN211713
GEORGIA BOARD OF NURSING
GA
Enumeration date
11/02/2015
Last updated
11/02/2015
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