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Jody L Amazon, N.P.

Nurse Practitioner in Snellville, GA. Individual provider (NPI-1).

NPI number1427038470
StatusActive
Last updated in NPPESJan 14, 2021

Details

NPI
1427038470
Entity type
Individual (NPI-1)
Name
Jody L Amazon
Credential
N.P.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 18, 2006
Certification date
Jan 14, 2021
Last updated
Jan 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerR096082GAYes

Practice location

2160 Fountain Dr Ste 220
Snellville, GA 30078-7022

Phone 678-336-9102 · Fax 770-674-8563

Mailing address

2160 Fountain Dr Ste 220
Snellville, GA 30078-7022

Phone 678-336-9102 · Fax 770-674-8563

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