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Mr. Shashank Kumar Jha, MBBS,FNP,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Kennesaw, Georgia
NPI 1174800072

Shashank Kumar Jha is a Psychiatric/Mental Health Nurse Practitioner based in Decatur, GA and is specialized in Psychiatric/Mental Health. Shashank Kumar Jha practices in Kennesaw, GA and has the professional credentials of MBBS,FNP,PMHNP-BC. The NPI Number for Shashank Kumar Jha is 1174800072 and holds a License No. RN214076 (Georgia).

The current practice location address for Shashank Kumar Jha is 4255 Wade Green Rd Nw Ste 414, Kennesaw, GA and can be reached out via phone at 678-213-2194.

Location: 4255 Wade Green Rd Nw Ste 414, Kennesaw, GA, 30030-1707
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Provider Profile Details
NPI Number
1174800072
Provider Name
Shashank Kumar Jha
Credential
MBBS,FNP,PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
4255 Wade Green Rd Nw Ste 414, Kennesaw, GA, 30030-1707
Phone Number
678-213-2194
Fax Number
Provider Enumeration Date
11/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN 214076 01 GA GEORGIA BOARD OF NURSING
17634 01 SC SOUTH CAROLINA BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
4255 Wade Green Rd Nw Ste 414
City
State
Zip
30144-1763
Phone Number
678-213-2194
Fax Number
person
Provider Business Mailing Address Details
Address
4255 Wade Green Rd Nw Ste 414
City
State
Zip
30144-1763
Phone Number
678-213-2194
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
17634 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RN214076 (Georgia)
Definition
Definition to come...
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