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Individual

JESSICA ETZKORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
475 PHILIP BLVD STE 300, LAWRENCEVILLE, GA 30046-8736
(770) 995-3300
Mailing address
10600 MEDLOCK BRIDGE RD, DULUTH, GA 30097-8404
(770) 995-3300

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN251834
GA

Other

Enumeration date
10/07/2015
Last updated
01/10/2023
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