Individual
JENNA A NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5255 SNAPFINGER PARK DR STE 110, DECATUR, GA 30035-4066
(770) 981-2211
Mailing address
1007 WINDSOR GREEN DR, CANTON, GA 30115-7109
(770) 981-2211
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363A00000X
Physician Assistant
Primary
12491
GA
Other
Enumeration date
06/04/2024
Last updated
08/28/2024
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