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MRS. JENNIFER SUZANNE CANTRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
1862 AUBURN RD, SUITE 107, DACULA, GA 30019-1676
(678) 288-4142
Mailing address
1862 AUBURN RD, SUITE 107, DACULA, GA 30019-1676
(678) 288-4142

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN166999NP
GA

Other

Enumeration date
06/04/2009
Last updated
06/18/2014
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