Individual
MRS. JENNIFER LANE FAWCETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
420 MALL BLVD, SAVANNAH, GA 31406-4888
(912) 689-6726
(912) 349-2326
Mailing address
10 CYPRESS CV, SAVANNAH, GA 31410-2625
(912) 665-0120
(912) 349-2326
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN135717
GA
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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