Landres, Jacklyn

Landres, Jacklyn is an sole proprietor health care provider with primary practice located at 4546 Barclay Dr , Dunwoody GA 30338-7147. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Landres, Jacklyn can be contacted via phone (770) 457-7994.

Contact Information

Primary practice address
4546 Barclay Dr Dunwoody GA 30338-7147
Phone: (770) 457-7994
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 027125 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10563 Georgia

Profile Details

NPI number 1619646999
LBN Legal business name Landres, Jacklyn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2021
Last updated Sep 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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