Individual provider · Type 1 NPI

Jessica Nicole Breaux, NP

Nurse Practitioner · Fayetteville, GA

NPI number 1205445426 Active

Practice location

1267 Highway 54 W Ste 2200
Fayetteville, GA 30214-2110

Mailing address

195 Coweta Lake Rd
Newnan, GA 30265-1815

Other practice locations

  • 59 Hospital Rd, Newnan, GA 30263-1209 · (678) 423-4610

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN239680 (GA)
Nurse Practitioner Primary 363L00000XAPRN-NP239680 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1205445426

Jessica Nicole Breaux, NP's National Provider Identifier is 1205445426, issued on Jul 23, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fayetteville, GA. The record was last updated on Sep 16, 2025.