Individual
JENNIFER IGIEOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
275 CICELY WAY, TYRONE, GA 30290-2960
(770) 896-1840
Mailing address
275 CICELY WAY, TYRONE, GA 30290-2960
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN254701
GA
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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