Individual
JENNIFER WAITE
Active
Individual
JENNIFER WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN229350
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN229350
GEORGIA BOARD OF NURSING
GA
Enumeration date
10/09/2017
Last updated
12/07/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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