Individual
KELLY NEFFENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 STEPHANIE AVE, RINCON, GA 31326-9666
(912) 856-3906
Mailing address
217 STEPHANIE AVE, RINCON, GA 31326-9666
(912) 856-3906
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP303186
GA
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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