Provider Demographics
NPI:1821486523
Name:WELLS, ISABELL JULIANE (PA-C, MS, RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:ISABELL
Middle Name:JULIANE
Last Name:WELLS
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Gender:F
Credentials:PA-C, MS, RD, LD
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Mailing Address - Street 1:486 SPRINGS END LN NE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-3077
Mailing Address - Country:US
Mailing Address - Phone:404-862-6385
Mailing Address - Fax:
Practice Address - Street 1:711 CANTON RD NE
Practice Address - Street 2:SUITE 300
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-8948
Practice Address - Country:US
Practice Address - Phone:678-741-5000
Practice Address - Fax:678-819-4280
Is Sole Proprietor?:No
Enumeration Date:2015-01-03
Last Update Date:2022-01-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical