Individual
JESSICA ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
600 PARKWAY N, NEWNAN, GA 30265-8000
(770) 400-6000
Mailing address
600 PARKWAY N, NEWNAN, GA 30265-8000
(770) 400-6000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN185361
GA
Other
Enumeration date
12/12/2010
Last updated
06/09/2014
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