Individual
MRS. JESSIE MARGURIETTE BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
73 SW PARK AVE STE B, BAXLEY, GA 31513-2008
(912) 705-8050
(912) 705-8051
Mailing address
73 SW PARK AVE STE B, BAXLEY, GA 31513-2008
(912) 705-8050
(912) 705-8051
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN252752
GA
Other
Enumeration date
03/23/2021
Last updated
02/16/2024
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