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NPI Code Detail

MEDICARE: JENNIFER WAMPLER PA-C

MEDICARE: JENNIFER WAMPLER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1609971563
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER WAMPLER PA-C
Provider Business Mailing Address
First Line : 6600 VAN AALST BLVD BLDG 9250
Second Line :
City : FORT BENNING
State : GA
Zip : 31905-2102
Country : US
Telephone Number : 706-544-9373
Fax Number :
Provider Business Practice Location Address
First Line : 6600 VAN AALST BLVD BLDG 9250
Second Line :
City : FORT BENNING
State : GA
Zip : 31905-2102
Country : US
Telephone Number : 706-544-9373
Fax Number : 762-408-8169
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 06/24/2026

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Directions to “ JENNIFER WAMPLER PA-C” Practice Location

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