Individual
JAIME LYNNE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
707 OLD DALTON ELLIJAY RD, CHATSWORTH, GA 30705-2029
(706) 695-4564
Mailing address
616 WALLACE WELLS CIR, LINCOLNTON, GA 30817-2802
(912) 258-1964
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN254900
GA
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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