Individual
JESSICA OGBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
330 HOSPITAL DR, #200, MACON, GA 31217-3899
(478) 745-1191
Mailing address
330 HOSPITAL DR, #200, MACON, GA 31217-3899
(478) 745-1191
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN155771
GA
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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