Butler, Jennifer M

Butler, Jennifer M is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Oncology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Butler, Jennifer M can be contacted via phone (770) 297-5700.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834
Phone: (770) 297-5700
Fax: (770) 536-1553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Oncology 163WX0200X RN121419 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN121419 Georgia

Profile Details

NPI number 1881841047
LBN Legal business name Butler, Jennifer M
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2008
Last updated Oct 23rd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881841047 NPPES
Georgia Other 468264 WELLCARE
Georgia Other 1231648 WELLCARE
Georgia MEDICAID 594060787A WELLCARE

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