Individual
JENNIFER RENEE EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
2713 CHARLES HARDY PKWY STE 122, DALLAS, GA 30157-9470
(770) 505-3162
Mailing address
2713 CHARLES HARDY PKWY STE 122, DALLAS, GA 30157-9470
(770) 505-3162
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN230896
GA
Other
Enumeration date
08/10/2021
Last updated
01/09/2023
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