Individual
JACLYN L HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 W ALTMAN ST, STATESBORO, GA 30458-5212
(912) 764-3800
(912) 871-1901
Mailing address
PO BOX 2009, STATESBORO, GA 30459-2009
(912) 764-3800
(912) 871-1901
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN112664
GA
363L00000X
Nurse Practitioner
Primary
RN112664
GA
Other
Enumeration date
07/10/2006
Last updated
01/28/2008
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