Individual
JENNIFER RUTH ORKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNAP, CRNA
Contact information
Practice address
3672 MARATHON CIR STE 120, AUSTELL, GA 30106-6821
(678) 945-8551
Mailing address
103 DEARBORN ST SE, ATLANTA, GA 30317-2207
(120) 528-9300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-111862
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN210419
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226367733A
—
GA
Enumeration date
05/14/2010
Last updated
04/06/2023
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