Most Relevant Information
Provider Data
| NPI Number: | 1003484056 |
| Provider Name: | JESSICA PERRI LAY FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN269337 |
Most Important Dates
| Enumeration Date: | 06/16/2021 |
| Last Updated: | 05/03/2023 |
Provider Practice Location
15 MEDICAL DR NE STE 101
CARTERSVILLE
GA
301218005
Practice Location Phone/Fax
| Phone: | 7703865221 |
| Fax: | 7703861128 |
Provider Mailing Location
16 GATEPOST LN
KINGSTON
GA
301452764
Provider Mailing Phone/Fax
| Phone: | 7705488907 |
| Fax: |