Individual
MS. JENNIFER SABOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 LACY ST NW, SUITE 150, MARIETTA, GA 30060-1271
(770) 793-7639
(770) 793-7645
Mailing address
100 LACY ST NW, SUITE 150, MARIETTA, GA 30060-1271
(770) 793-7639
(770) 793-7645
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN168965
GA
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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