Individual
JESSICA KC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2533 BRADFORD SQ NE, ATLANTA, GA 30345-1335
(678) 222-6157
Mailing address
2533 BRADFORD SQ NE, ATLANTA, GA 30345-1335
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP319377
GA
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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