Individual
JESSICA SHARI WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
477 WINDSOR ST SW, ATLANTA, GA 30312-2530
(404) 688-9202
Mailing address
4284 DUESENBERG DR, TUCKER, GA 30084-7533
(678) 579-2090
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN185551
GA
Other
Enumeration date
10/11/2018
Last updated
10/12/2018
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