Individual
JESSICA LITTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1400 RIVER PL STE 501, BRASELTON, GA 30517-5600
(770) 534-2020
(770) 534-8025
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN219858
GA
Other
Enumeration date
09/09/2016
Last updated
10/06/2020
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