Individual
JESSICA ANNE GOEDJEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
401 S MAIN ST STE A4, ALPHARETTA, GA 30009-1957
(313) 598-2272
Mailing address
1396 CANOOCHEE DR NE, BROOKHAVEN, GA 30319-3432
(313) 598-2272
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN247558
GA
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP247558
GA
Other
Enumeration date
01/17/2024
Last updated
10/07/2025
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