Individual
JENNIFER M BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 297-5700
(770) 536-1553
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
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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