Individual
JENNIFER ANNE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(859) 457-9877
Mailing address
524 HODGES RD, HINESVILLE, GA 31313-6729
(859) 457-9877
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
1131580
KY
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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