MEDICARE: JESSICA NICOLE KUHN FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	RN127164	GA

General Provider Information

NPI Number	:	1144575986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA NICOLE KUHN FNP-C

Provider Business Mailing Address
First Line	:	3970 DEPUTY BILL CANTRELL MEM
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30040-3069
Country	:	US
Telephone Number	:	770-781-8004
Fax Number	:	678-679-4053

Provider Business Practice Location Address
First Line	:	3970 DEPUTY BILL CANTRELL MEM STE 150
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30040-3069
Country	:	US
Telephone Number	:	770-781-8004
Fax Number	:	678-679-4053

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2012
Last Update Date	:	10/14/2025

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