Foster, Jessica Lyn

Foster, Jessica Lyn is an individual health care provider with primary practice located at 3805 Cherokee St Nw , Kennesaw GA 30144-2085. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Foster, Jessica Lyn can be contacted via phone (770) 426-5666.

Contact Information

Primary practice address
3805 Cherokee St Nw Kennesaw GA 30144-2085
Phone: (770) 426-5666
Fax: (770) 426-9212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN 159786 NP Georgia

Profile Details

NPI number 1457515363
LBN Legal business name Foster, Jessica Lyn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2008
Last updated May 18th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457515363 NPPES
Georgia MEDICAID 874033748B

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