Individual
MRS. JENNA R VAN ZELFDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20 GLENLAKE PKWY, ATLANTA, GA 30328-3473
(800) 611-1811
Mailing address
2735 JIMS RD NE, MARIETTA, GA 30066-1413
(404) 903-9917
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN231309
GA
Other
Enumeration date
01/15/2020
Last updated
02/03/2022
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