| Doctor Name: | LAUREN A JERNIGAN |
| NPI Number: | 1003192436 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 006233 |
| Business Practice Address: | 10 Market Square Way Suite 100 Newnan, GA - 30265 |
| Business Phone Number: | 6784235560 |
| Business Fax Number: | 6784235563 |
| Mailing Address: | 10 Market Square Way, Suite 100 NEWNAN |
| State: | GA |
| Postal Code: | 302656078 |
| Phone Number: | 6784235560 |
| Fax Number: | 6784235563 |
| NPI Enumeration Date: | 10/31/2011 |
| NPI Last Update Date: | 07/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 006233 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |