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Individual

JENNIFER OGECHI NWANGBURUKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
505 COLISEUM DR, MACON, GA 31217-3840
(478) 743-8687
Mailing address
505 COLISEUM DR, MACON, GA 31217-3840
(478) 743-8687

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
256499
AZ
363LF0000X
Family Nurse Practitioner
AP140228
TX
363LF0000X
Family Nurse Practitioner
R246127
MD
363LF0000X
Family Nurse Practitioner
Primary
RN319889
GA

Other

Enumeration date
01/18/2019
Last updated
11/21/2024
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