Individual provider · Type 1 NPI

Jessica Katherine Vernon, PA-C

Medical Physician Assistant · Fayetteville, GA

NPI number 1104597210 Active

Practice location

1275 Highway 54 W Ste 201
Fayetteville, GA 30214-4538

Call (770) 461-3774 Map

Mailing address

245 Highview Trce
Fayetteville, GA 30215-2384

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X10526 (GA)

Medical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1104597210

Jessica Katherine Vernon, PA-C's National Provider Identifier is 1104597210, issued on Sep 28, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fayetteville, GA. The record was last updated on Sep 28, 2021.