Individual
JONATHAN KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 745-4206
Mailing address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 745-4206
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN129896
GA
363LF0000X
Family Nurse Practitioner
Primary
RN129896
GA
Other
Enumeration date
12/14/2017
Last updated
10/08/2025
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