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Individual

DR. ANGELA GENEVA JENKINS-JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, PMHNP-BC

Contact information

Practice address
600 CELEBRATE LIFE PKWY, NEWNAN, GA 30265-8001
(678) 723-1831
Mailing address
2001 BLUEBIRD TRL, DOUGLAS, GA 31533-3200
(912) 650-1268

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN104442
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN104442
GA

Other

Enumeration date
10/29/2018
Last updated
10/29/2018
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