Individual
MRS. ASHLEY JACOB KURUVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1380 WOODSTOCK RD, ROSWELL, GA 30075-2141
(770) 640-3131
Mailing address
3762 DRAGON FLY LN, LOGANVILLE, GA 30052-9087
(678) 639-0255
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN198212
GA
Other
Enumeration date
08/03/2015
Last updated
10/28/2015
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