Individual
MRS. JENESSA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
5730 GLENRIDGE DR STE 200, ATLANTA, GA 30328-5579
(404) 252-5206
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
APRN-NP264795
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-NP264795
GA
Other
Enumeration date
08/31/2022
Last updated
11/24/2025
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