Individual
JEANNE FRANCES HULSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 724-6100
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN17953
SC
364SA2200X
Adult Health Clinical Nurse Specialist
213642
SC
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
RN154582
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2503
—
SC
Enumeration date
09/15/2011
Last updated
03/01/2023
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