Individual
MRS. JENNIFER OGLESBY BUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
125 MEADOW WOOD DR, ELLAVILLE, GA 31806-8936
(229) 942-3492
Mailing address
125 MEADOW WOOD DR, ELLAVILLE, GA 31806-8936
(229) 942-3492
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN207222
GA
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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