Individual
JESSICA WILSON CASHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
116 MIMOSA DR, THOMASVILLE, GA 31792-6605
(229) 584-5700
Mailing address
116 MIMOSA DR, THOMASVILLE, GA 31792-6605
(229) 584-5700
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN225887
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003226395A
—
GA
Enumeration date
10/14/2019
Last updated
11/18/2020
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