Individual
MISS JESSICA NICOLE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
156 W TAHOE DR, SAVANNAH, GA 31405-9421
(760) 731-0313
(760) 731-0414
Mailing address
5710 OGEECHEE RD, STE 200 PMB 314, SAVANNAH, GA 31405
(760) 731-0313
(760) 731-0414
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN246577
GA
Other
Enumeration date
10/10/2019
Last updated
01/03/2020
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