Individual
JAMIE VILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
297 COOPER RD, LOGANVILLE, GA 30052-2518
(678) 381-2630
Mailing address
297 COOPER RD, LOGANVILLE, GA 30052-2518
(678) 381-2630
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-NP290842
GA
Other
Enumeration date
02/27/2023
Last updated
10/28/2025
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