Individual provider · Type 1 NPI

Jennifer Waite, AGACNP

Gerontology Nurse Practitioner · Gainesville, GA

NPI number 1740790476 Active

Practice location

743 Spring St NE
Gainesville, GA 30501-3715

Fax (770) 534-8025

Mailing address

PO Box 742616
Atlanta, GA 30374-2616

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XRN229350 (GA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1740790476

Jennifer Waite, AGACNP's National Provider Identifier is 1740790476, issued on Oct 9, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Gainesville, GA. The record was last updated on Dec 7, 2020.