Individual
JIANGNAN SONG
Active
Individual
JIANGNAN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN275221
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN275221
GA
363LF0000X
Family Nurse Practitioner
RN275221
GA
Other
Enumeration date
02/26/2018
Last updated
01/18/2024
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