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Individual

MRS. JESSICA LYNNE HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-4579
Mailing address
1182 FRANKLIN CIR NE, ATLANTA, GA 30324-4606
(770) 243-9395

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN231644
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
231644
GA

Other

Enumeration date
11/07/2018
Last updated
11/23/2021
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