Waite, Jennifer

Waite, Jennifer is an individual health care provider with primary practice located at 743 Spring St Ne , Gainesville GA 30501-3715. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Waite, Jennifer can be contacted via phone (770) 534-2020.

Contact Information

Primary practice address
743 Spring St Ne Gainesville GA 30501-3715
Phone: (770) 534-2020
Fax: (770) 534-8025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN229350 Georgia

Profile Details

NPI number 1740790476
LBN Legal business name Waite, Jennifer
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2017
Last updated Dec 7th, 2020 - about 4 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 1740790476 NPPES
Georgia Other RN229350 GEORGIA BOARD OF NURSING

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