NPI 1407648819

Jessica Wackermann, CNM

Practitioner Midwife Marietta, GA

Practice location

Address: 833 Campbell Hill St NW STE 400, Marietta, GA 30060-1147
Phone: (770) 528-0260
Mailing address: 409 Christina Way, Acworth, GA 30102-1377

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence 255120 (GA)

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Registry record

NPI: 1407648819
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2025
Record last updated: 21 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.