Individual
JESSICA RENEE VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 US HIGHWAY 80 E, POOLER, GA 31322
(912) 597-9486
Mailing address
535 N CENTRAL AVE, HAPEVILLE, GA 30354-1603
(404) 593-7289
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN283794
GA
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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