Individual
JESSICA M LONGSHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5361 REYNOLDS ST, SAVANNAH, GA 31405-6014
(912) 355-8000
(912) 355-8403
Mailing address
5361 REYNOLDS ST, SAVANNAH, GA 31405-6014
(724) 312-8667
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN242359
GA
363LA2100X
Acute Care Nurse Practitioner
RN242359
GA
Other
Enumeration date
08/10/2023
Last updated
11/13/2023
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