Individual
JESSICA REGISTER BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1402 PECAN DR, BAINBRIDGE, GA 39819-4852
(229) 726-0035
Mailing address
1402 PECAN DR, BAINBRIDGE, GA 39819-4852
(229) 726-0035
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5167628
FL
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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