Individual
JESIKA OLGUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 BEAVER RUIN RD NW STE A, LILBURN, GA 30047-3430
(478) 444-8651
Mailing address
335 HARTWELL DR, LAWRENCEVILLE, GA 30043-3567
(678) 768-3206
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRNNP260046
GA
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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