Individual
DR. JESSICA ANN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1947 KENWOOD PL SE, SMYRNA, GA 30082-5144
(470) 839-5193
Mailing address
1947 KENWOOD PL SE, SMYRNA, GA 30082-5144
(470) 839-5193
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010058
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHIR010058
CHIROPRACTIC LICENSE
GA
Enumeration date
05/05/2018
Last updated
05/05/2018
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