Baldwin, Jacquita Nicole
Baldwin, Jacquita Nicole is an sole proprietor health care provider with primary practice located at 106 Moran Dr , Bonaire GA 31005-5106. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Baldwin, Jacquita Nicole can be contacted via phone (478) 988-1282.Contact Information
Primary practice address
106 Moran Dr
Bonaire GA 31005-5106
Phone: (478) 988-1282
Fax: (478) 988-3120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN204398 | Georgia |
Profile Details
| NPI number | 1861034415 |
|---|---|
| LBN Legal business name | Baldwin, Jacquita Nicole |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2019 |
| Last updated | Sep 18th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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