Most Relevant Information
Provider Data
NPI Number: | 1003338195 |
Provider Name: | JAMIE LYNN HARRELSON FNP |
Entity Type: | Individual |
Taxonomy Code: | 363LF0000X |
Specialty: | Nurse Practitioner |
License Number: | RN190897 |
Most Important Dates
Enumeration Date: | 07/11/2017 |
Last Updated: | 07/11/2017 |
Provider Practice Location
4061 VINEVILLE AVE
MACON
GA
312105039
Practice Location Phone/Fax
Phone: | 4787577345 |
Fax: |
Provider Mailing Location
616 WINDSONG WAY CT
MACON
GA
312172805
Provider Mailing Phone/Fax
Phone: | 4789722152 |
Fax: |