Individual
JEANETTE PULSIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
134 CLARK RD, FAYETTEVILLE, GA 30215-5520
(678) 610-3170
(678) 610-3227
Mailing address
134 CLARK RD, FAYETTEVILLE, GA 30215-5520
(678) 610-3170
(678) 610-3227
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
056-R-0821
GA
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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