Individual
JESSICA WYSOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1400 NORTHSIDE FORSYTH DR STE 310, CUMMING, GA 30041-6017
(678) 845-7300
(678) 845-7301
Mailing address
1400 NORTHSIDE FORSYTH DR STE 310, CUMMING, GA 30041-6017
(678) 845-7300
(678) 845-7301
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN277050
GA
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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