Individual
JILL BRANNAN DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
631 PROFESSIONAL DR, SUITE 360, LAWRENCEVILLE, GA 30046-3367
(770) 962-4895
(770) 962-4792
Mailing address
631 PROFESSIONAL DR, STE 360, LAWRENCEVILLE, GA 30046-3367
(404) 235-6822
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN060090
GA
Other
Enumeration date
05/12/2011
Last updated
03/27/2013
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