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Individual

MRS. JESSICA DEANNE HARALSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, NP

Contact information

Practice address
3320 OLD JEFFERSON RD BLDG 800, ATHENS, GA 30607-1400
(706) 353-2990
(706) 353-2992
Mailing address
101 ASHBY DR, JACKSON, GA 30233-2932
(678) 630-1774

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
292783
GA
363LG0600X
Gerontology Nurse Practitioner
292783
GA

Other

Enumeration date
09/06/2023
Last updated
08/14/2024
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