Van Jura, Brandy R.

Van Jura, Brandy R. is an individual health care provider with primary practice located at 2412 N Oak St , Valdosta GA 31602-2567. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Van Jura, Brandy R. can be contacted via phone (229) 244-1400.

Contact Information

Primary practice address
2412 N Oak St Valdosta GA 31602-2567
Phone: (229) 244-1400
Fax: (229) 244-5512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN154901 NP Georgia

Profile Details

NPI number 1124108410
LBN Legal business name Van Jura, Brandy R.
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 27th, 2022 - about 2 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 1124108410 NPPES
Georgia MEDICAID 332972580A

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