Individual
JAMIE LYNN SOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 535-0191
(770) 535-0916
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 533-6511
(770) 533-4786
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN199903
GA
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP199903
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003334997A
—
GA
Enumeration date
09/11/2023
Last updated
12/04/2025
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