Individual provider · Type 1 NPI
Jessika Marie Villedrouin, AGACNP
Acute Care Nurse Practitioner · Gainesville, GA
NPI number
1245795749
Active
Practice location
1315 Jesse Jewell Parkway Suite 300
Gainesville, GA 30501-3715
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN199410 (GA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | RN199410 (GA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1245795749
Jessika Marie Villedrouin, AGACNP's National Provider Identifier is 1245795749, issued on Feb 8, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Gainesville, GA. The record was last updated on Mar 24, 2021.