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BRANDI MICHELLE ST. JOHN NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1003395690

Individual Registrant:
 BRANDI MICHELLE ST. JOHN NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
80 W MAIN ST  BUTLER, GA 31006 US
Tel: 478-862-5453  Fax: 478-862-5454

Contact information for business:
1015 HANCOCK DR  AMERICUS, GA 31709-4129 US
Tel: 229-815-4832  Fax: --

Registration Information:
NPI: 1003395690
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN245234

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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