Individual
JESSICA SHELNUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Mailing address
701 MOUNTAINBROOKE CIR, STONE MOUNTAIN, GA 30087-2810
(770) 561-8564
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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