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NPI Code Detail

MEDICARE: JAMIE ELIZABETH EDMUNDS FNP-C

MEDICARE:   JAMIE ELIZABETH EDMUNDS  FNP-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
1363LF0000XFamily Nurse PractitionerRN220607GA

General Provider Information

NPI Number : 1689057218
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE ELIZABETH EDMUNDS FNP-C
Provider Business Mailing Address
First Line : 4548 WHITE HORSE DR
Second Line :
City : BRASELTON
State : GA
Zip : 30517-1523
Country : US
Telephone Number : 803-226-1698
Fax Number :
Provider Business Practice Location Address
First Line : 4548 WHITE HORSE DR
Second Line :
City : BRASELTON
State : GA
Zip : 30517-1523
Country : US
Telephone Number : 803-226-1698
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2015
Last Update Date : 02/29/2024

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Directions to “ JAMIE ELIZABETH EDMUNDS FNP-C” Practice Location

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