Individual
JESSICA ANN WESMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5356 REYNOLDS ST STE 505, SAVANNAH, GA 31405-6017
(912) 356-1515
(912) 644-0755
Mailing address
ST. JOSEPH'S/ CANDLER- MANAGED CARE DEPT, 836 E 65TH STREET, STE 22, SAVANNAH, GA 31405-0001
(128) 192-6229
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10530
GA
363A00000X
Physician Assistant
1307
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10530
STATE MEDICAL BOARD
GA
Enumeration date
09/01/2017
Last updated
10/27/2021
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