Healthcare Provider Details

I. General information

NPI: 1144575986
Provider Name (Legal Business Name): JESSICA NICOLE KUHN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA DEMARCO

II. Dates (important events)

Enumeration Date: 07/18/2012
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3970 DEPUTY BILL CANTRELL MEM STE 150
CUMMING GA
30040-3069
US

IV. Provider business mailing address

3970 DEPUTY BILL CANTRELL MEM
CUMMING GA
30040-3069
US

V. Phone/Fax

Practice location:
  • Phone: 770-781-8004
  • Fax: 678-679-4053
Mailing address:
  • Phone: 770-781-8004
  • Fax: 678-679-4053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN127164
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: