Individual
JENNIFER TIFFANY JILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 812-9561
Mailing address
2257 MILLER ACADEMY RD, BREMEN, GA 30110-2520
(770) 722-1559
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN212046
GA
Other
Enumeration date
11/26/2019
Last updated
04/07/2023
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