Individual
JESSICA ERICSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1364 CLIFTON RD NE STE D219, ATLANTA, GA 30322-1059
(404) 712-2093
(404) 686-7076
Mailing address
620 GLEN IRIS DR NE UNIT 407, ATLANTA, GA 30308-2770
(404) 290-4756
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
RN159498
GA
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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