JASMINE LASHEA INGRAM-LUSANE

MACON, GA
NPI1063003911
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: GA  RN209551)
Enumeration Date2021-02-02
Last Update Date2021-02-02
Business Address
JASMINE LASHEA INGRAM-LUSANE NP
3920 ARKWRIGHT RD STE 140
MACON, GA 31210-1771
Phone number: 832-300-0401
Mailing Address
JASMINE LASHEA INGRAM-LUSANE NP
358 CYPRESS DR
GRAY, GA 31032-5896
Phone number: 478-414-0569
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