Jessica Lee

NPI 1659061703 · on the registry since 2023 · sole proprietor

Practice

Address: 1701 Boulevard Sq Ste F
Waycross, GA 31501
Phone: (912) 342-8875
Fax: (912) 342-8016
Organisation at this address: Southeast Georgia Pediatrics
Robert S Gentile Enterprise Pc
Family Home Medical Equipment, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 225XP0200X
225XP0200X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-05-11

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