Individual
JESTY BOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
751 AUTUMN MEADOW DR, LOGANVILLE, GA 30052-7934
(678) 982-6728
Mailing address
751 AUTUMN MEADOW DR, LOGANVILLE, GA 30052-7934
(678) 982-6728
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
192978
GA
Other
Enumeration date
09/07/2020
Last updated
10/13/2025
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