Individual
JENNA WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
127 OLD HIGHWAY 96 STE B, BONAIRE, GA 31005-3461
(478) 352-7143
(478) 352-7144
Mailing address
PO BOX 117598, ATLANTA, GA 30368-7598
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN275278
GA
Other
Enumeration date
06/23/2020
Last updated
08/07/2026
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