Individual
JEAN MINIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6005 STATE BRIDGE RD APT 1215, JOHNS CREEK, GA 30097-6460
(618) 977-5903
Mailing address
6005 STATE BRIDGE RD APT 1215, JOHNS CREEK, GA 30097-6460
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN281218
GA
363LF0000X
Family Nurse Practitioner
0024176996
VA
363LP2300X
Primary Care Nurse Practitioner
Primary
GAA-NP000705
GA
Other
Enumeration date
04/07/2018
Last updated
07/27/2022
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