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Individual

JASMINE RENEE MCDANIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3111 JEFFERSON SQUARE CT, DECATUR, GA 30030-1729
(601) 467-2261
Mailing address
3111 JEFFERSON SQUARE CT, DECATUR, GA 30030-1729
(601) 467-2261

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN234318
GA

Other

Enumeration date
01/30/2015
Last updated
01/30/2015
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