Individual
JANE MICHELLE GAVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
409 W 10TH ST NE, ROME, GA 30165-2640
(706) 406-5093
Mailing address
PO BOX 2333, ROME, GA 30164-2333
(706) 406-5093
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN048596
GA
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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