Female

Jessica D. Waller NP

Adult Health Nurse Practitioner in Athens, GA(View on Map)

Full Name

Jessica D Waller NP

NPI Number

1346827094

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/27/2021

Specialties

(Taxonomies)

Code

363LA2200X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

RN216597

Contact
Information

Purpose

Mailing
Location

Address

868 MICHAEL ETCHISON RD STE B
1500 OGLETHORPE AVE STE 500C

City

Monroe
Athens

State

GA
GA

Postal Code

30655-8204
30606-2184

Country

US
US

Telephone Number

(706) 389-3440
(706) 546-7484

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

jwaller2680517@direct.trinity-health.org

Endpoint Description

Unknown

Use

Direct

Content Type

Unknown

Affiliation

N

Endpoint Location

1500 Oglethorpe Ave Ste 500CAthens, GA306062184US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/15/2024

Provider Address

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