Individual
MISS JESSICA KEITH RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
774 ATHENS RD, LEXINGTON, GA 30648-1908
(706) 743-8183
(706) 769-4402
Mailing address
206 STONECREST CT, ATHENS, GA 30605-3967
(404) 321-4922
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN068772
GA
Other
Enumeration date
02/24/2006
Last updated
04/12/2016
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