Individual
JENNIFER L DWELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, NNP-BC
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 785-9850
Mailing address
5627 HARBORMIST DR, POWDER SPRINGS, GA 30127
(770) 627-5146
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
13159
CA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
196088
GA
Other
Enumeration date
01/25/2007
Last updated
04/16/2008
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