Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKLYN LANDRES, PA-C
Active Sole ProprietorJACKLYN LANDRES, PA-C is a Physician Assistant healthcare provider located in DUNWOODY, Georgia. NPI 1619646999 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DUNWOODY, GA
Registration Details
- NPI Number
- 1619646999
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 9, 2021 (4.9257984560562 yrs)
- Last Updated
- Sep 9, 2021
- Licenses
-
027125 (NY)10563 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4546 BARCLAY DRDUNWOODY, GA, 303387147Browse GA providers · Browse ZIP 30338
- Phone
- 7704577994
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in DUNWOODY, GA
| Name | Credential | NPI |
|---|---|---|
| JONIE D FAWLEY | PA | 1578520342 |
| FARRYL WILBURN | PA-C | 1841740354 |
| AMY ZOLLER LEE | — | 1477018455 |
| RAYNESHA FRANKLIN | PA-C | 1033840319 |
| CHRISTOPHER COLMAN | — | 1811683543 |
| LINDSEY WARNOCK | — | 1982482097 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.