Individual
RICHARD JEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1800 TREE LN STE 250, SNELLVILLE, GA 30078-6799
(770) 736-6300
Mailing address
1754 HARROGATE CT, GRAYSON, GA 30017-1092
(770) 568-7912
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN290487
GA
363LC0200X
Critical Care Medicine Nurse Practitioner
RN290487
GA
Other
Enumeration date
04/19/2024
Last updated
10/24/2025
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