Search › Georgia › 363LA2100X
Jessica Blackburn
NPI 1235049255 · on the registry since 2026
Practice
- Address
- 2200 Medical Center Blvd Ste 200
Lawrenceville, GA 30046 - Phone
- (404) 845-8200
- Clinicians at this address
- 32
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia