Individual
MRS. JESSY ABI MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C, APRN
Contact information
Practice address
200 S ENOTA DR NE STE 100, GAINESVILLE, GA 30501-3466
(770) 848-7884
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8720
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5015335
NC
363LF0000X
Family Nurse Practitioner
3011452
KY
363LF0000X
Family Nurse Practitioner
Primary
GAA-NP001482
GA
Other
Enumeration date
07/05/2017
Last updated
08/16/2023
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