Individual provider · NPI-1

Jamie Vander Ark, L.P.N.

Military Hospital · Fort Stewart, GA

NPI number1679962468
StatusActive
Last updated in NPPESJan 15, 2015

Details

NPI
1679962468
Entity type
Individual (NPI-1)
Name
Jamie Vander Ark
Credential
L.P.N.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 15, 2015
Last updated
Jan 15, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
286500000X Military HospitalLPN090279GAYes
286500000X Military HospitalLN58812MA

Practice location

1061 Harmon Ave
Suite 1d03
Fort Stewart, GA 31314-5641

Phone 912-435-6965

Mailing address

1061 Harmon Ave
Suite 1d03
Fort Stewart, GA 31314-5641

Phone 912-435-6965

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