Most Relevant Information
Provider Data
| NPI Number: | 1003231416 |
| Provider Name: | JESSICA SANDERS FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 18434 |
Most Important Dates
| Enumeration Date: | 02/20/2014 |
| Last Updated: | 07/02/2024 |
Provider Practice Location
1525 CHATTANOOGA RD
DALTON
GA
307208379
Practice Location Phone/Fax
| Phone: | 7065297124 |
| Fax: | 7065297126 |
Provider Mailing Location
1525 CHATTANOOGA RD
DALTON
GA
307208379
Provider Mailing Phone/Fax
| Phone: | 7065297124 |
| Fax: | 7065297126 |