Individual
JESSICA LYNNE HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
186 MERCER LN, CARTERSVILLE, GA 30120-5882
(678) 986-0921
Mailing address
186 MERCER LN, CARTERSVILLE, GA 30120-5882
(678) 986-0921
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-120671
GA
163WM0102X
Maternal Newborn Registered Nurse
RN209261
GA
163WN0003X
Low-Risk Neonatal Registered Nurse
RN20921
GA
163WP1700X
Perinatal Registered Nurse
RN209261
GA
163WX0002X
High-Risk Obstetric Registered Nurse
RN209261
GA
163WX0003X
Inpatient Obstetric Registered Nurse
RN209261
GA
Other
Enumeration date
05/28/2021
Last updated
12/18/2023
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