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Individual

JORDAN MCKENZIE BRUNEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
354 NEWNAN CROSSING BYP, NEWNAN, GA 30265-2323
(770) 520-8561
Mailing address
5 IRON DR, NEWNAN, GA 30265-2631

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN297049
GA

Other

Enumeration date
04/22/2025
Last updated
04/22/2025
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