Darci Jessie, PA
Physician Assistant in Atlanta, GA. Individual provider (NPI-1).
NPI number1154376002
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154376002
- Entity type
- Individual (NPI-1)
- Name
- Darci Jessie
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 003885 | GA | Yes |
Other names
- Dari Boshaw (Former Name)
Practice location
303 Parkway Dr NeAtlanta, GA 30312-1212
Phone 404-265-4000
Mailing address
203 Second AveDecatur, GA 30030-3551
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