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:
Health care specialties
Specialty | Code | License # | 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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