NPI 1083227821

Jessica Senft Retterbush, PAC

Practitioner Physician Assistant Roswell, GA

Practice location

Address: 1015 Mansell Rd, Roswell, GA 30076-1507
Phone: (770) 521-2229
Mailing address: 1100 Westbrooke Way NE, Brookhaven, GA 30319-4805

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 9897 (GA)

Other Physician Assistant providers in Georgia →

Registry record

NPI: 1083227821
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Aug 2020
Record last updated: 31 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.