Individual
JESSICA LYNNE COURSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
903 WEST WARD STREET, SUITE B, DOUGLAS, GA 31533
(912) 260-1191
(912) 260-1193
Mailing address
1111 GLYNCO PARKWAY, BLDG1 STE 10, BRUNSWICK, GA 31525
(912) 264-9111
(912) 262-6909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN190877
GA
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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