Individual
MRS. JESSIKA MARIE VILLEDROUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1315 JESSE JEWELL PARKWAY SUITE 300, GAINESVILLE, GA 30501-3715
(770) 219-9000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN199410
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN199410
GA
Other
Enumeration date
02/08/2019
Last updated
03/24/2021
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