Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | RN084616 | GA |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | RN084616 | GA |
NPI | 1225366776 |
---|---|
Provider Name | Jennifer Key |
First Address | Augusta, GA 30914-3548 |
Second Address | Augusta, GA 30909-2205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2009 |
Last Update Date | 08/10/2018 |