Individual
MS. JESSICA IFEOMA EZIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
700 VENUE WAY, APT. 7108, ALPHARETTA, GA 30005-4525
(215) 896-4115
Mailing address
700 VENUE WAY, APT. 7108, ALPHARETTA, GA 30005-4525
(215) 896-4115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN189053
GA
Other
Enumeration date
03/25/2017
Last updated
03/25/2017
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