Search › Georgia › 363A00000X
Jacklyn Landres, PA-C
NPI 1619646999 · on the registry since 2021 · sole proprietor
Practice
- Address
- 4546 Barclay Dr
Dunwoody, GA 30338 - Phone
- (770) 457-7994
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- NY, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia