Individual
MRS. JENNIE VANDENHOUTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
900 MOHAWK ST STE E, SAVANNAH, GA 31419-1768
(912) 925-0067
Mailing address
900 MOHAWK ST, STE E, SAVANNAH, GA 31419-1768
(912) 925-0067
(912) 925-2381
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN183462
GA
Other
Enumeration date
07/22/2014
Last updated
03/31/2021
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