Individual
MR. JONATHAN RISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
256 MCMILLAN RD, DACULA, GA 30019-2337
(770) 624-2728
(770) 353-9819
Mailing address
5997 ASH HILL PL, HOSCHTON, GA 30548-4115
(850) 960-9581
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN271537
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN271537
GA
Other
Enumeration date
01/21/2022
Last updated
05/07/2024
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