Jessica J Flow-Bagwell, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Demorest, GA
NPI 1184423923 · NPPES record last updated Mar 12, 2025
Key facts
- NPI
- 1184423923
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN203155 (GA)
- Practice address
- 865 Austin Dr
Demorest, GA 30535-4513 - Phone
- (706) 754-8811
- NPI assigned
- Mar 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN203155 | GA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN203155 | GA | Yes |
Addresses
Primary practice location
865 Austin Dr
Demorest, GA 30535-4513
Mailing address
2579 Highway 105
Demorest, GA 30535-2123
Phone (706) 676-5121
Other practice location 1
865 Austin Dr
Demorest, GA 30535-4513
Phone (706) 949-0174
Other providers in Demorest, GA
- Tammy Danielle Farmer
- Tina Nicole Feldman
- Mark H. Ferdos
- Tracy A Ferguson
- Sloan Fletcher
- Marcella Edwards Ford
- Donald L Fordham
- Jeremy Fouts
- Fresenius Medical Care Kidney Healthcare, LLC
- Andrea J Fuller
All providers in Demorest, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.