Individual
JENNIFER VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 W PEACHTREE ST NW STE 1100, ATLANTA, GA 30309-3609
(404) 256-8500
(404) 256-8506
Mailing address
6600 PEACHTREE DUNWOODY RD STE 325, ATLANTA, GA 30328-6773
(404) 876-1906
(678) 781-3036
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN248963
GA
Other
Enumeration date
02/18/2020
Last updated
10/22/2020
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