Individual
DR. JENNIFER K GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
78311
GA
207VX0000X
Obstetrics Physician
Primary
78311
GA
Other
Enumeration date
04/05/2013
Last updated
06/10/2026
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