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MISS JESSICA KEITH RAINEY C.R.N.P.

Primary Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1841266442

Individual Registrant:
MISS JESSICA KEITH RAINEY C.R.N.P.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
774 ATHENS RD  LEXINGTON, GA 30648-1908 US
Tel: 706-743-8183  Fax: 706-769-4402

Contact information for business:
206 STONECREST CT  ATHENS, GA 30605-3967 US
Tel: 404-321-4922  Fax: --

Registration Information:
NPI: 1841266442
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP2300XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Primary Care
GARN068772

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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