Individual
JENNA RAE GARTSIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 571-1000
Mailing address
8451 SEMINOLE LOOP, FORT BENNING, GA 31905-1963
(478) 290-3380
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN209852
GA
Other
Enumeration date
03/14/2020
Last updated
07/25/2023
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