Individual
MISS JESSICA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3451 COBB PKWY NW STE 4, ACWORTH, GA 30101-4000
(678) 574-5678
(678) 574-5605
Mailing address
3451 COBB PKWY NW STE 4, ACWORTH, GA 30101-4000
(678) 574-5678
(678) 574-5605
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN229030
GA
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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