Search › Georgia › 363LA2100X
Jennifer Wiegand, ACNP
NPI 1548444573 · on the registry since 2007
Practice
- Address
- 5281 Cleveland Hwy
Clermont, GA 30527 - Phone
- (770) 983-4611
- Fax
- (770) 983-9143
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia