Pugh, Jena
Pugh, Jena is an individual health care provider with primary practice located at 759 Old Norcross Rd , Lawrenceville GA 30046-4317. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Pugh, Jena can be contacted via phone (404) 300-2379.Contact Information
Primary practice address
759 Old Norcross Rd
Lawrenceville GA 30046-4317
Phone: (404) 300-2379
Fax: (404) 300-2379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | RN208906 | Georgia |
Profile Details
| NPI number | 1790793479 |
|---|---|
| LBN Legal business name | Pugh, Jena |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Feb 1st, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790793479 | NPPES |
| Georgia | MEDICAID | 003128343E | |
| Georgia | MEDICAID | 003128343C | |
| Georgia | MEDICAID | 2669474 |
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