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Individual

JENNIFER M BUTLER

Active
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Individual

JENNIFER M BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Taxonomy

Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
RN121419
GA
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP121419
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1231648
AMERIGROUP
GA
01
468264
WELLCARE
GA
05
594060787A
GA
Enumeration date
08/19/2008
Last updated
10/09/2025
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