Individual
JESICA LYN ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2335 LIMESTONE OVERLOOK, GAINESVILLE, GA 30501-7443
(770) 297-0356
(770) 297-7564
Mailing address
2335 LIMESTONE OVERLOOK, GAINESVILLE, GA 30501-7443
(770) 297-0356
(770) 297-7564
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN232412
GA
Other
Enumeration date
08/25/2017
Last updated
07/21/2022
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