Individual
AMANDA ELIZABETH JASPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1199 PRINCE AVENUE, MEDICAL SERVICES BUILDING, SECOND FLOOR, ATHENS, GA 30606
(706) 475-1700
Mailing address
1199 PRINCE AVENUE, MEDICAL SERVICES BUILDING, SECOND FLOOR, ATHENS, GA 30606
(706) 475-1700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN169616
GA
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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