Individual
JENIECE TIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 LEISURE COVE LN, MCDONOUGH, GA 30253-7793
(704) 685-7096
Mailing address
116 LEISURE COVE LN, MCDONOUGH, GA 30253-7793
(704) 685-7096
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP301613
GA
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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