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1982320685
JESSICA NOEL KETTELL
DECATUR, GA
NPI
1982320685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA RN255108)
Enumeration Date
2022-10-13
Last Update Date
2022-10-18
Business Address
JESSICA NOEL KETTELL PMHNP-BC
465 WINN WAY STE 221
DECATUR, GA 30030-1723
Phone number: 888-588-8995
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Mailing Address
JESSICA NOEL KETTELL PMHNP-BC
5415 SUGARLOAF PKWY STE 1108 STE 1108 #6383
LAWRENCEVILLE, GA 30043-7832
Phone number: 678-818-3129
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