Individual
JESSICA ROSALIE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 S DAVIS RD STE 900, LAGRANGE, GA 30241-2609
(800) 805-6989
Mailing address
105 FRANKLIN PL, LAGRANGE, GA 30240-8521
(706) 302-5994
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN091419
GA
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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