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1023503760
JENNIFER ALAINE BACKUS
ATLANTA, GA
NPI
1023503760
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Former Name
JENNIFER BACKUS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA Rn236089)
Enumeration Date
2018-06-26
Last Update Date
2024-12-10
Business Address
JENNIFER ALAINE BACKUS APRN
1800 HOWELL MILL RD NW STE 450
ATLANTA, GA 30318-2508
Phone number: 404-355-4393
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Mailing Address
JENNIFER ALAINE BACKUS APRN
265 SHERATON BLVD
MACON, GA 31210
Phone number: 478-746-8626
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