JORDAN LEIGH THACKSTON

WINDER, GA
NPI1194533711
Former NameJORDAN LEIGH EVANS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN287787)
Enumeration Date2024-12-28
Last Update Date2024-12-28
Business Address
JORDAN LEIGH THACKSTON FNP-C
24 AMHERST DR
WINDER, GA 30680-7463
Phone number: 470-900-4368
Mailing Address
JORDAN LEIGH THACKSTON FNP-C
24 AMHERST DR
WINDER, GA 30680-7463
Phone number: 470-900-4368
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