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Individual

JAZMYN CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9157 TARA BLVD, JONESBORO, GA 30236-4912
(404) 437-6056
Mailing address
845 SAINT CLAIR ST, JACKSONVILLE, FL 32254-3133

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
GAA-NP004124
GA

Other

Enumeration date
12/19/2025
Last updated
12/19/2025
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