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Individual

MS. JANA SUSAN PRITCHETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
1506 BROADRICK DR, DALTON, GA 30720-3011
(706) 278-3430
Mailing address
328 CHAROLAIS TRL, COHUTTA, GA 30710-9325
(706) 537-4277

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN077411
GA
363LA2100X
Acute Care Nurse Practitioner
RN077411
GA
363LA2200X
Adult Health Nurse Practitioner
RN077411
GA
363LG0600X
Gerontology Nurse Practitioner
RN077411
GA

Other

Enumeration date
03/28/2014
Last updated
03/28/2014
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