Individual
JESSICA MELISSA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
210 COLLEGE ST, MCDONOUGH, GA 30253-3300
(470) 878-6401
Mailing address
136 HAMLIN RD, JACKSON, GA 30233-3129
(678) 662-8966
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN254312
GA
Other
Enumeration date
05/10/2021
Last updated
06/02/2021
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