Individual
MS. JENNIFER NICOLE VENABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(770) 277-3057
Mailing address
3737 HAVENMIST CV, SUWANEE, GA 30024-3767
(678) 697-0064
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/30/2020
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