Individual
MRS. LESLIE DIANE JARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2978 HIGHWAY 36 W, JACKSON, GA 30233-6150
(770) 504-2112
Mailing address
910 CHAMPIONS WAY, MCDONOUGH, GA 30252-8544
(404) 272-0698
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
RN090996
GA
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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