Individual
MISS JESSICA LAUREN HARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
601 PROFESSIONAL DR STE 170, LAWRENCEVILLE, GA 30046-7649
(404) 423-7112
Mailing address
601 PROFESSIONAL DR STE 170, LAWRENCEVILLE, GA 30046-7649
(404) 423-7112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN296926
GA
363L00000X
Nurse Practitioner
Primary
RN296926
GA
Other
Enumeration date
10/30/2023
Last updated
06/05/2024
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