Waller, Jessica D

Waller, Jessica D is an individual health care provider with primary practice located at 1500 Oglethorpe Ave Ste 500C , Athens GA 30606-2184. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Waller, Jessica D can be contacted via phone (706) 546-7484.

Contact Information

Primary practice address
1500 Oglethorpe Ave Ste 500C Athens GA 30606-2184
Phone: (706) 546-7484
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN216597 Georgia

Profile Details

NPI number 1346827094
LBN Legal business name Waller, Jessica D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2021
Last updated Jan 15th, 2024 - about last year

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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