Provider Demographics
NPI:1326748286
Name:LEE, JENNIFER NICOLE BARRON (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:NICOLE BARRON
Last Name:LEE
Suffix:
Gender:
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:NICOLE
Other - Last Name:BARRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3448 VINEVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31204-1867
Mailing Address - Country:US
Mailing Address - Phone:478-405-0045
Mailing Address - Fax:478-405-0054
Practice Address - Street 1:147 JAMES ST
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:GA
Practice Address - Zip Code:31032-6358
Practice Address - Country:US
Practice Address - Phone:478-405-0045
Practice Address - Fax:478-405-0054
Is Sole Proprietor?:No
Enumeration Date:2023-03-08
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN307412363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily