Most Relevant Information
Provider Data
| NPI Number: | 1003304981 |
| Provider Name: | JENNIFER LYNN CARELOCK NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN164261 |
Most Important Dates
| Enumeration Date: | 04/26/2018 |
| Last Updated: | 11/29/2022 |
Provider Practice Location
15 YARBROUGH ST
HAZLEHURST
GA
315396341
Practice Location Phone/Fax
| Phone: | 9123750755 |
| Fax: |
Provider Mailing Location
15 YARBROUGH ST
HAZLEHURST
GA
315396341
Provider Mailing Phone/Fax
| Phone: | 9123750418 |
| Fax: | 9123755775 |