Individual provider · Type 1 NPI

Jessica Ruth Maxwell

Medical Physician Assistant · Atlanta, GA

NPI number 1265754121 Active

Practice location

975 Johnson Ferry Rd NE, Suite 380
Atlanta, GA 30342-1619

Fax (404) 255-2654

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X5771 (GA)
Medical Physician Assistant Primary 363AM0700XPA14878 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1265754121

Jessica Ruth Maxwell's National Provider Identifier is 1265754121, issued on Feb 19, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Atlanta, GA. The record was last updated on Sep 9, 2021.