Individual
MR. SHASHANK KUMAR JHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, FNP, PMHNP-BC
Contact information
Practice address
2550 SANDY PLAINS RD STE 225, MARIETTA, GA 30066-7256
(770) 525-7415
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 508-3835
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
17634
SC
363LF0000X
Family Nurse Practitioner
RN214076
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN214076
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17634
SOUTH CAROLINA BOARD OF NURSING
SC
01
—
RN 214076
GEORGIA BOARD OF NURSING
GA
Enumeration date
11/07/2011
Last updated
09/24/2025
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