Gresham, Jacquita
Gresham, Jacquita is an individual health care provider with primary practice located at 95 Stone Ridge Way , Covington GA 30016-6923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Home Health, which is considered as her primary health care specialty. Gresham, Jacquita can be contacted via phone (470) 621-5877.Contact Information
Primary practice address
95 Stone Ridge Way
Covington GA 30016-6923
Phone: (470) 621-5877
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Home Health | 364SH0200X | 873976524 | Georgia |
Profile Details
NPI number | 1902538887 |
---|---|
LBN Legal business name | Gresham, Jacquita |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 28th, 2022 |
Last updated | Jun 28th, 2022 - about 3 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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