Individual
MRS. JENNIFER MILLER RAFUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., FNP, LIC. AC.
Contact information
Practice address
615A PENDLETON ST, WAYCROSS, GA 31501-4724
(912) 548-0710
Mailing address
615A PENDLETON ST, WAYCROSS, GA 31501-4724
(912) 548-0710
(912) 548-0071
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN235259
GA
363LF0000X
Family Nurse Practitioner
Primary
RN235259
GA
Other
Enumeration date
10/17/2006
Last updated
01/22/2018
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