Individual provider · Type 1 NPI

Justin Marcus Fender, R-NP

Family Nurse Practitioner · Douglas, GA

NPI number 1164772372 Active

Practice location

1400 Peterson Ave N, Suite C
Douglas, GA 31533-2832

Call (912) 384-4000 Map

Fax (912) 384-4029

Mailing address

102 NW Bowens Mill Road
Douglas, GA 31533-2252

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN 194077 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1164772372

Justin Marcus Fender, R-NP's National Provider Identifier is 1164772372, issued on Sep 14, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Douglas, GA. The record was last updated on Dec 2, 2016.