Individual
JASMINE GAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3451 COBB PKWY NW, SUITE 4, ACWORTH, GA 30101-5766
(678) 574-5678
(678) 574-5605
Mailing address
3451 COBB PKWY NW, SUITE 4, ACWORTH, GA 30101-5766
(678) 574-5678
(678) 574-5605
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0216908
GA
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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