Individual
JAMISON MCKENZIE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 MARTIN PALMER DR, BRUNSWICK, GA 31523-8285
(912) 567-6660
(833) 606-0577
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN259143
GA
Other
Enumeration date
04/22/2024
Last updated
02/07/2025
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