Individual
JESSICA ANN STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 MACON RD STE 109, COLUMBUS, GA 31906-1741
(706) 225-8773
(706) 608-9071
Mailing address
1500 1ST AVE N UNIT 3, BIRMINGHAM, AL 35203-1866
(205) 545-5088
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN294963
GA
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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