Individual
KIMBERLY JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
447 N BELAIR RD STE 101, EVANS, GA 30809-3091
(706) 854-2222
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN214360
GA
Other
Enumeration date
06/30/2016
Last updated
02/18/2020
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