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Individual

JENIFFER CAROL CULBERTSON CARPINELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
200 S ENOTA DR NE, SUITE 200, GAINESVILLE, GA 30501-3473
(770) 534-2020
(770) 534-8025
Mailing address
200 S ENOTA DR NE, SUITE 200, GAINESVILLE, GA 30501-3473
(770) 534-2020
(770) 534-8025

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN120116
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0008947616C
GA
01
10053121
AMERIGROUP
GA
01
340826
WELLCARE
GA
01
P00094015
RR MEDICARE-GRP # CC4177
GA
Enumeration date
03/01/2006
Last updated
01/09/2026
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