MS. WENDY KAE JETTON CSA
NPI 1467640649
Physician Assistant - Surgical in Marietta, GA

Q: What is Wendy Jetton's NPI number?

The NPI number for Wendy Jetton is 1467640649. It was assigned to this individual provider in the NPPES registry on October 12, 2007.

Q: What is Wendy Jetton's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Wendy Jetton was last updated on November 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 12, 2007

915 RANDALL CT NW, MARIETTA, GA 30064(770) 842-1907(678) 214-5098 Get Directions Write a Review

NPPES record last updated: November 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2016, Oct 19, 2016 (2 updates tracked since 2016).

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About Ms. Wendy Kae Jetton Csa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. WENDY KAE JETTON CSA (NPI 1467640649) is an individual surgical provider in Marietta, Georgia, licensed in Georgia (1256) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1467640649

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMS. WENDY KAE JETTONCredential: CSA

Location Address915 RANDALL CT NWMarietta, GA 30064-4724

Mailing Address915 Randall Ct NwMarietta, GA 30064-4724 · (770) 842-1907 · Fax (678) 214-5098

Phone(770) 842-1907

Fax(678) 214-5098

Sole ProprietorYes

Enumeration DateOctober 12, 2007

Last NPPES UpdateNovember 13, 20162 updates tracked since enumeration

✔ NPI 1467640649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in GA · 1256

915 RANDALL CT NW, Marietta, GA 30064

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JETT SURGICAL LLC

Physician Assistant (Surgical)

915 RANDALL CT NW
MARIETTA, GA 30064

Cobb County (770) 842-1907

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wendy Jetton's NPI number?

The NPI number for Wendy Jetton is 1467640649. It was assigned to this individual provider in the NPPES registry on October 12, 2007.

Where is Wendy Jetton located?

Wendy Jetton practices at 915 Randall Ct NW, Marietta, GA 30064. The listed phone number is (770) 842-1907.

What is Wendy Jetton's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Wendy Jetton was last updated on November 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.