person
Mr. Justin Marcus Fender, R-NP
Family Nurse Practitioner in Douglas, Georgia
NPI 1164772372

Justin Marcus Fender is a Family Nurse Practitioner based in Douglas, GA and is specialized in Family. Justin Marcus Fender practices in Douglas, GA and has the professional credentials of R-NP. The NPI Number for Justin Marcus Fender is 1164772372 and holds a License No. RN 194077 (Georgia).

The current practice location address for Justin Marcus Fender is 1400 Peterson Ave N, Douglas, GA and can be reached out via phone at 912-384-4000 and via fax at 912-384-4029.

Location: 1400 Peterson Ave N, Douglas, GA, 31533-2252
person
Provider Profile Details
NPI Number
1164772372
Provider Name
Justin Marcus Fender
Credential
R-NP
Provider Entity Type
Individual
Gender
Male
Address
1400 Peterson Ave N, Douglas, GA, 31533-2252
Phone Number
912-384-4000
Fax Number
912-384-4029
Provider Enumeration Date
09/14/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003128519F 05 GA
institution
Provider Business Practice Location Address Details
Address
1400 Peterson Ave N
City
State
Zip
31533-2832
Phone Number
912-384-4000
Fax Number
912-384-4029
person
Provider Business Mailing Address Details
Address
1400 Peterson Ave N
City
State
Zip
31533-2832
Phone Number
912-384-4000
Fax Number
912-384-4029
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN 194077 (Georgia)
Definition
Definition to come...
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