Individual
MRS. JENNIFER WING KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1875 CENTURY BLVD NE STE 150, ATLANTA, GA 30345-3323
(404) 633-4595
(404) 633-6637
Mailing address
403 S CANDLER ST, DECATUR, GA 30030-3748
(207) 831-9127
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN193467
GA
363L00000X
Nurse Practitioner
Primary
APRN-NP193467
GA
Other
Enumeration date
01/08/2008
Last updated
12/09/2025
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