Individual
JESSICA EVANS SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
37 CALUMET PKWY, NEWNAN, GA 30263-6734
(770) 683-6946
Mailing address
357 CLIFFHAVEN CIR, NEWNAN, GA 30263-6358
(818) 687-3550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
243813
GA
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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