Individual
JENNIFER REDDISH COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1094 BERMUDA RUN, STATESBORO, GA 30458-0858
(912) 681-3111
Mailing address
4029 DENTON LOOP, STATESBORO, GA 30461-4936
(912) 690-0832
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN152780
GA
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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