Individual
JAKE DAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1608 MEADOWS LN STE 1, VIDALIA, GA 30474-9907
(912) 537-9488
(912) 537-8951
Mailing address
1608 MEADOWS LN STE 1, VIDALIA, GA 30474-9907
(912) 537-9488
(912) 537-8951
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN208274
GA
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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