Individual
JENNIFER JERI THIGPEN HEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
996 BRIDGEWATER WALK, SNELLVILLE, GA 30078-2049
(404) 583-0090
Mailing address
996 BRIDGEWATER WALK, SNELLVILLE, GA 30078-2049
(404) 583-0090
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
102586
GA
367500000X
Certified Registered Nurse Anesthetist
RN102586
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000796507A
—
GA
Enumeration date
05/27/2006
Last updated
03/18/2021
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