Individual
JASON L RIGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
600 CELEBRATE LIFE PKWY, NEWNAN, GA 30265-8001
(770) 400-6000
Mailing address
600 CELEBRATE LIFE PKWY, NEWNAN, GA 30265-8001
(770) 400-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN141789
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN141789
GEORGIA ADVANCED PRACTICE NURSING LICENSE
GA
Enumeration date
01/20/2020
Last updated
01/05/2024
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