Individual
JENNISE M KELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5671 JOHNSON FERRY RD, SUITE 680, ATLANTA, GA 30342-1606
(770) 722-5786
(770) 722-5786
Mailing address
4358 LOCHSA LN, SUWANEE, GA 30024-1739
(678) 889-4862
(678) 889-4862
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN112685
GA
Other
Enumeration date
09/27/2005
Last updated
07/08/2007
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