Individual
JELESSA OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
265 SNOW BIRD DR, HAMPTON, GA 30228-3530
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN296197
GA
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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