Individual
BRANDY GADDY JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3116 HIGHWAY 34 E, NEWNAN, GA 30265-1342
(678) 633-6051
Mailing address
3116 HIGHWAY 34 E, NEWNAN, GA 30265-1342
(678) 633-6051
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN166060
GA
367A00000X
Advanced Practice Midwife
RN166060
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
850673599B
—
GA
Enumeration date
12/19/2008
Last updated
02/24/2016
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