Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackie Janzen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295368918

Jackie Janzen is a Student in an Organized Health Care Education/Training Program in Snellville, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1569 Janmar Rd Ste A
Snellville, GA 30078-5780
Phone: (770) 979-7923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 255 Gateway Dr Ste 200, Bethlehem, GA 30620-1823 — (678) 963-5790

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN016095 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1295368918
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2020
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing address255 Gateway Dr Ste 200, Bethlehem, GA 30620-1823

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