Individual
JENNIFER ALAINE BACKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1800 HOWELL MILL RD NW STE 450, ATLANTA, GA 30318-2508
(404) 355-4393
(404) 609-7648
Mailing address
265 SHERATON BLVD, MACON, GA 31210
(478) 746-8626
(478) 746-0491
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN236089
GA
Other
Enumeration date
06/26/2018
Last updated
12/10/2024
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