Provider Demographics
NPI:1699980508
Name:NAUNAS, JESSICA JENNINGS (PA)
Entity type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:JENNINGS
Last Name:NAUNAS
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1100 JOHNSON FERRY RD NE
Mailing Address - Street 2:SUITE 510
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1709
Mailing Address - Country:US
Mailing Address - Phone:404-419-1165
Mailing Address - Fax:404-419-1164
Practice Address - Street 1:5670 PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:SUITE 300
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1699
Practice Address - Country:US
Practice Address - Phone:404-851-2300
Practice Address - Fax:404-851-2357
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2012-11-09
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Provider Licenses
StateLicense IDTaxonomies
GA005045363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA512768891CMedicaid
GA512768891AMedicaid
GA512768891BMedicaid
GA512768891BMedicaid
GAQ79478Medicare UPIN