Jennice H. Gist
Nurse Anesthetist, Certified Registered in McDonough, GA. Individual provider (NPI-1).
NPI number1477526499
StatusActive
Last updated in NPPESJun 17, 2020
Details
- NPI
- 1477526499
- Entity type
- Individual (NPI-1)
- Name
- Jennice H. Gist
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2006
- Certification date
- Jun 17, 2020
- Last updated
- Jun 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN134488 | GA | Yes |
Practice location
136 Southgate BlvdMcDonough, GA 30253-8035
Phone 678-289-6483
Mailing address
Po Box 73709Newnan, GA 30271-3709
Phone 770-251-2060 · Fax 678-854-9235
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