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Jessica Haynie

Nurse Practitioner, Pediatrics in Stockbridge, GA. Individual provider (NPI-1).

NPI number1982182374
StatusActive
Last updated in NPPESAug 15, 2023

Details

NPI
1982182374
Entity type
Individual (NPI-1)
Name
Jessica Haynie
Sex
Female
Sole proprietor
No
Enumeration date
Jul 30, 2018
Certification date
Aug 15, 2023
Last updated
Aug 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsRN231788GAYes

Practice location

245 Country Club Dr
Stockbridge, GA 30281-9080

Phone 770-389-4543

Mailing address

237 Walden Pond Trl
Senoia, GA 30276-6729

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Other Pediatric Nurse Practitioner providers in Stockbridge, GA

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