Individual
MRS. GLORY JASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,N.P
Contact information
Practice address
4995 LANIER ISLANDS PKWY, BUFORD, GA 30518-1741
(678) 546-5059
(678) 546-5470
Mailing address
4995 LANIER ISLANDS PKWY, BUFORD, GA 30518-1741
(678) 546-5059
(678) 546-5470
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN158040
GA
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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