Jernigan, Lauren A
Jernigan, Lauren A is an individual health care provider with primary practice located at 10 Market Square Way Suite 100, Newnan GA 30265. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Jernigan, Lauren A can be contacted via phone (678) 423-5560.Contact Information
Primary practice address
10 Market Square Way Suite 100
Newnan GA 30265
Phone: (678) 423-5560
Fax: (678) 423-5563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 006233 | Georgia |
Profile Details
| NPI number | 1003192436 |
|---|---|
| LBN Legal business name | Jernigan, Lauren A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2011 |
| Last updated | Jul 28th, 2015 - about 10 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 | 1003192436 | NPPES |
| Georgia | MEDICAID | 003119030 | |
| Georgia | MEDICAID | 003119030B |
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