Individual
MRS. JENNIFER CARTER WIEGAND
Active
Individual
MRS. JENNIFER CARTER WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN126531
GA
363LF0000X
Family Nurse Practitioner
RN126531
GA
Other
Enumeration date
12/27/2007
Last updated
01/04/2021
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