Individual
MS. JOAN I AURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
502 E GENERAL STEWART WAY STE A, HINESVILLE, GA 31313-2643
(912) 368-1959
(912) 368-1966
Mailing address
2129 NASHVILLE ST, JOPLIN, MO 64801-1347
(417) 622-6450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2019000937
MO
363LF0000X
Family Nurse Practitioner
Primary
GAA-NP000111
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019000937
CERTIFIED NURSE PRACTITIONER
MO
Enumeration date
01/10/2019
Last updated
03/25/2021
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