Individual
BRANDI S JERNANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
222 PERRY HWY, BLDG A, HAWKINSVILLE, GA 31036-6748
(478) 783-4307
(478) 783-4309
Mailing address
222 PERRY HWY, BLDG A, HAWKINSVILLE, GA 31036-6748
(478) 783-4307
(478) 783-4309
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN149163 NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432259684A
—
GA
05
—
432259684B
—
GA
Enumeration date
12/15/2005
Last updated
02/12/2016
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