Individual
JENNIFER T STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN,CNM
Contact information
Practice address
682 HEMLOCK ST, STE 210, MACON, GA 31201-8314
(478) 742-6738
(478) 742-6153
Mailing address
682 HEMLOCK ST, STE 210, MACON, GA 31201-8314
(478) 742-6738
(478) 742-6153
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN148291
GA
Other
Enumeration date
09/25/2009
Last updated
01/09/2012
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