Individual
JASMINE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-S
Contact information
Practice address
1000 CHASTAIN RD NW, KENNESAW, GA 30144-5591
(470) 578-6000
Mailing address
130 JEFFERSON PKWY UNIT 608, NEWNAN, GA 30263-5874
(770) 837-7286
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN286301
GA
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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