Individual
JERI LYNN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
645 HARPER ST, JESUP, GA 31546-3756
(803) 603-9920
Mailing address
645 HARPER ST, JESUP, GA 31546-3756
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN240496
GA
363L00000X
Nurse Practitioner
Primary
RN240496
GA
Other
Enumeration date
07/04/2021
Last updated
07/04/2021
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