Individual
MISS JENNIFER LAUREN CULBRETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC
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
Update your record
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