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JESSICA ASHLEY SMITH NP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1801453618

Individual Registrant:
 JESSICA ASHLEY SMITH NP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
244 AYERS CIR  LULA, GA 30554-3341 US
Tel: 706-371-5414  Fax: --

Contact information for business:
244 AYERS CIR  LULA, GA 30554-3341 US
Tel: 706-371-5414  Fax: --

Registration Information:
NPI: 1801453618
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GA215972

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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