Search › Georgia › 163W00000X
Jessica Gagnon
NPI 1912561382 · on the registry since 2019
Practice
- Address
- 950 15th St
Augusta, GA 30901 - Phone
- (706) 733-0188
- Organisation at this address
- Augusta Vamc
Augusta Vamc
Lisa Robertson, Llc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 87
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-30
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