Individual provider · Type 1 NPI
Jerett Stockham
Family Nurse Practitioner · Atlanta, GA
NPI number
1326639261
Active
Practice location
1001 Johnson Ferry Rd
Atlanta, GA 30342-1605
Mailing address
1001 Buckeye Ln
Villa Rica, GA 30180-5328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN263866 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1326639261
Jerett Stockham's National Provider Identifier is 1326639261, issued on Feb 2, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Atlanta, GA. The record was last updated on May 8, 2023.