Individual
JESSICA JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 BRAY ST, ATHENS, GA 30601-2203
(706) 389-6789
Mailing address
107 HAVERHILL CIR, WARNER ROBINS, GA 31088-2045
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN100411
GA
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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