Individual
JENNESTER CULP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
908 PAVILION CT # E1, MCDONOUGH, GA 30253-6662
(470) 402-7955
Mailing address
1703 MARY AVE, GRIFFIN, GA 30224-8367
(470) 402-7955
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95002633
CA
Other
Enumeration date
12/04/2015
Last updated
12/20/2022
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