Individual
JENNIFER MAXWELL BAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
619 POINTE NORTH BLVD, ALBANY, GA 31721-1514
(229) 883-4707
Mailing address
619 POINTE NORTH BLVD, ALBANY, GA 31721-1514
(229) 883-4707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN198913
GA
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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