Individual
CASEY JONES ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
852 DACULA RD, DACULA, GA 30019-3185
(770) 848-9380
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN215190
GA
Other
Enumeration date
10/06/2016
Last updated
04/14/2022
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