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Individual

MISS JENNIFER LAUREN CULBRETH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ANP-BC

Contact information

Practice address
1001 MEMORIAL LN, SAVANNAH, GA 31410-1220
(912) 897-3766
(912) 898-0809
Mailing address
1001 MEMORIAL LN, SAVANNAH, GA 31410-1220
(912) 897-3766
(912) 898-0809

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN188387
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003128469A
GA
05
003128469B
GA
01
P01119002
RAILROAD MEDICARE
GA
Enumeration date
09/06/2012
Last updated
11/13/2013
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