Individual
SALLIE JAYNE LISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACAG DNP
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 546-7646
Mailing address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-6634
(770) 219-2923
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN085783
GA
Other
Enumeration date
09/29/2016
Last updated
10/30/2025
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