Jennifer Gayle Carruth, NP
Nurse Practitioner, Family in Acworth, GA. Individual provider (NPI-1).
NPI number1033408331
StatusActive
Last updated in NPPESDec 27, 2023
Details
- NPI
- 1033408331
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer Gayle Carruth
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2011
- Certification date
- Dec 1, 2023
- Last updated
- Dec 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN178859 | GA | Yes |
Practice location
1762 Mars Hill Rd NwAcworth, GA 30101-8091
Phone 678-732-1500
Mailing address
472 Bottesford Dr NwKennesaw, GA 30144-7129
Phone 269-274-6294
Other practice locations
2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Kennesaw, GA 30152-3472
Phone 770-420-1092
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