Individual
JESSICA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10945 STATE BRIDGE RD, ALPHARETTA, GA 30022-8164
(770) 619-2066
Mailing address
1090 CRABAPPLE LAKE CIR, ROSWELL, GA 30076-4272
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0616373
GA
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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