Individual
MS. JACQUELYN ELIZABETH NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMSC, PA-C, ATC
Contact information
Practice address
80 GILMER STREET SE, ATLANTA, GA 30303
(404) 616-4475
Mailing address
49 JESSE HILL JR DR SE FL 3, ATLANTA, GA 30303-3049
(404) 778-1550
(404) 778-1552
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363AS0400X
Surgical Physician Assistant
Primary
11465
GA
363AS0400X
Surgical Physician Assistant
—
GA
Other
Enumeration date
07/04/2015
Last updated
04/03/2025
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