Individual
MISS JESSICA LYN FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3805 CHEROKEE ST NW, KENNESAW, GA 30144-2085
(770) 426-5666
(770) 426-9212
Mailing address
3805 CHEROKEE ST NW, KENNESAW, GA 30144-2085
(770) 426-5666
(770) 426-9212
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN 159786 NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
874033748B
—
GA
Enumeration date
07/10/2008
Last updated
05/18/2016
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