Individual
JESSICA ANNE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 KINGTON LN, CHICKAMAUGA, GA 30707-1991
(706) 375-9400
(706) 375-9400
Mailing address
555 SMOKETREE CIR, RINGGOLD, GA 30736-3314
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
31850
TN
Other
Enumeration date
06/17/2022
Last updated
08/30/2022
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