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Individual

JESSICA KATHERINE VERNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1275 HIGHWAY 54 W STE 201, FAYETTEVILLE, GA 30214-4538
(770) 461-3774
Mailing address
245 HIGHVIEW TRCE, FAYETTEVILLE, GA 30215-2384
(678) 471-7965

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10526
GA

Other

Enumeration date
09/28/2021
Last updated
09/28/2021
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