Individual
MS. JANE COX WRENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
485 HIGHWAY 29 N, ATHENS, GA 30601-5583
(706) 353-6000
(706) 353-2694
Mailing address
1010 VILLAGE DR, WATKINSVILLE, GA 30677-6004
(706) 769-0000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN061080
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04/04/59
DATE OF BIRTH
—
Enumeration date
05/15/2006
Last updated
05/13/2014
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