Individual
JASMINE A LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2605 PRESTON DR, DECATUR, GA 30034-1341
(954) 651-3555
Mailing address
2605 PRESTON DR, DECATUR, GA 30034-1341
(954) 651-3555
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN266742
GA
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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