Individual provider · Type 1 NPI

Jessica D. Waller, NP

Adult Health Nurse Practitioner · Athens, GA

NPI number 1346827094 Active

Practice location

2470 Daniells Bridge Rd Ste 251
Athens, GA 30606-6192

Fax (706) 353-2205

Mailing address

PO Box 48089
Athens, GA 30604-8089

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XRN216597 (GA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1346827094

Jessica D. Waller, NP's National Provider Identifier is 1346827094, issued on Mar 27, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Athens, GA. The record was last updated on Mar 5, 2026.