Culbreth, Jennifer Lauren

Culbreth, Jennifer Lauren is an sole proprietor health care provider with primary practice located at 1001 Memorial Ln , Savannah GA 31410-1220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Culbreth, Jennifer Lauren can be contacted via phone (912) 897-3766.

Contact Information

Primary practice address
1001 Memorial Ln Savannah GA 31410-1220
Phone: (912) 897-3766
Fax: (912) 898-0809
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN188387 Georgia

Profile Details

NPI number 1114276078
LBN Legal business name Culbreth, Jennifer Lauren
Credentials ANP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2012
Last updated Nov 13th, 2013 - about 13 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 1114276078 NPPES
Georgia MEDICAID 003128469B
Georgia MEDICAID 003128469A
Georgia Other P01119002

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