Individual
JAMIKA GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-3295
(706) 721-3813
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-3295
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
24550
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
GAA-NP000606
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24550
SC BOARD OF NURSING
SC
Enumeration date
03/17/2021
Last updated
09/29/2022
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