Individual
JANA EDWARDS MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1451 HIGHWAY 21 S STE H, SPRINGFIELD, GA 31329-5244
(912) 754-1035
(912) 754-1037
Mailing address
459 HIGHWAY 119 S, SPRINGFIELD, GA 31329-3021
(912) 754-0175
(912) 754-2570
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN216318
GA
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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