Individual
JESSICA MENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, ENP-C
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
777 MEMORIAL DR SE UNIT 1112, ATLANTA, GA 30316-1213
(678) 895-6278
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
223118
GA
363L00000X
Nurse Practitioner
Primary
223118
GA
Other
Enumeration date
10/25/2019
Last updated
02/28/2022
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