Individual
MISS JESSICA JENNINGS NAUNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5670 PEACHTREE DUNWOODY RD NE, SUITE 300, ATLANTA, GA 30342-1699
(404) 851-2300
(404) 851-2357
Mailing address
1100 JOHNSON FERRY RD NE, SUITE 510, SANDY SPRINGS, GA 30342-1709
(404) 419-1165
(404) 419-1164
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005045
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
512768891A
—
GA
05
—
512768891B
—
GA
05
—
512768891C
—
GA
Enumeration date
05/14/2007
Last updated
11/09/2012
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