Individual
KYLE SANDERS-JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1113 E OGLETHORPE HWY, HINESVILLE, GA 31313-1200
(912) 876-2173
(912) 876-2346
Mailing address
PO BOX 231, HINESVILLE, GA 31310-0231
(912) 876-2173
(912) 876-2346
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN121162
GA
363LF0000X
Family Nurse Practitioner
28606
SC
363LF0000X
Family Nurse Practitioner
Primary
RN121162
GA
Other
Enumeration date
12/02/2014
Last updated
01/06/2026
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