Provider Demographics
NPI:1285009555
Name:LYONS, JESSICA MARIE (RN,FNP-C)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:MARIE
Last Name:LYONS
Suffix:
Gender:F
Credentials:RN,FNP-C
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Mailing Address - Street 1:1909 US HIGHWAY 82 W STE 5
Mailing Address - Street 2:
Mailing Address - City:TIFTON
Mailing Address - State:GA
Mailing Address - Zip Code:31793-8213
Mailing Address - Country:US
Mailing Address - Phone:229-386-4300
Mailing Address - Fax:229-386-8300
Practice Address - Street 1:1909 US HIGHWAY 82 W STE 5
Practice Address - Street 2:
Practice Address - City:TIFTON
Practice Address - State:GA
Practice Address - Zip Code:31793-8213
Practice Address - Country:US
Practice Address - Phone:229-386-4300
Practice Address - Fax:229-386-8300
Is Sole Proprietor?:No
Enumeration Date:2015-12-11
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN169668363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily