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Individual

JESSICA LYNN THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1000
Mailing address
2673 ROSEMARY ST NW, ATLANTA, GA 30318-1138
(706) 302-9466

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
217217
GA
363LN0000X
Neonatal Nurse Practitioner
Primary
RN217217
GA

Other

Enumeration date
07/05/2019
Last updated
10/07/2019
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