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Individual

MISS JESSICA AYRE SKELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1199 PRINCE AVE, ATHENS, GA 30606
(706) 543-3449
(706) 543-5744
Mailing address
4120 COLHAM FERRY RD, WATKINSVILLE, GA 30677-3343

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R91530
SC
163W00000X
Registered Nurse
RN159445
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN159445
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
714577994A
GA
Enumeration date
10/15/2007
Last updated
10/16/2025
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