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MS. MARY LANA JARRELL APRN

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

Registrant NPI Number: 1770665697

Individual Registrant:
MS. MARY LANA JARRELL APRN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
416 PINE ST  SYLVANIA, GA 30467-2036 US
Tel: 912-564-2182  Fax: --

Contact information for business:
416 PINE ST  SYLVANIA, GA 30467-2036 US
Tel: 912-564-2182  Fax: --

Registration Information:
NPI: 1770665697
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN044752

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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