Vernon, Jennifer N

Vernon, Jennifer N is an individual health care provider with primary practice located at 1810 Mulkey Rd Suite 201, Austell GA 30106-1151. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Vernon, Jennifer N can be contacted via phone (404) 316-6269.

Contact Information

Primary practice address
1810 Mulkey Rd Suite 201 Austell GA 30106-1151
Phone: (404) 316-6269
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18618 Mississippi
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 058830 Georgia

Profile Details

NPI number 1376649871
LBN Legal business name Vernon, Jennifer N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Dec 18th, 2007 - about 19 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 1376649871 NPPES
Mississippi MEDICAID 06936300

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