Individual
JESSICA DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342-1764
(678) 843-7290
Mailing address
5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342-1764
(678) 843-7290
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
252225
GA
Other
Enumeration date
02/21/2026
Last updated
02/21/2026
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