Fordyce, Jason

Fordyce, Jason is an individual health care provider with primary practice located at 307 Old Stone Rd , Villa Rica GA 30180-1214. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Fordyce, Jason can be contacted via phone (770) 459-8799.

Contact Information

Primary practice address
307 Old Stone Rd Villa Rica GA 30180-1214
Phone: (770) 459-8799
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN223272 Georgia

Profile Details

NPI number 1346816865
LBN Legal business name Fordyce, Jason
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2021
Last updated Jul 8th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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