Individual
JESSICA WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2722 N DECATUR RD, DECATUR, GA 30033-5910
(678) 467-7598
Mailing address
1971 DREW DR NW, ATLANTA, GA 30318
(678) 467-7598
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN218439
GA
Other
Enumeration date
04/27/2020
Last updated
02/07/2023
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