Individual
JESSICA EVANS PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 272-6158
Mailing address
1431 CENTERPOINT BLVD STE 100, KNOXVILLE, TN 37932-1983
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN209632
GA
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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