Edwards, Jacqueline Carolyn

Edwards, Jacqueline Carolyn is an sole proprietor health care provider with primary practice located at 8081 Tara Blvd 265, Jonesboro GA 30236. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Edwards, Jacqueline Carolyn can be contacted via phone (678) 815-5446.

Contact Information

Primary practice address
8081 Tara Blvd 265 Jonesboro GA 30236
Phone: (678) 815-5446
Fax: (188) 829-1928
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28131113A Indiana
Nursing Service Providers / Registered Nurse 163W00000X RN139678 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN139678 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005657A Indiana

Profile Details

NPI number 1740688910
LBN Legal business name Edwards, Jacqueline Carolyn
Credentials N.P., RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2014
Last updated Dec 13th, 2016 - about 8 years ago

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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