Johnson, Jacqueline Ruth

Johnson, Jacqueline Ruth is an sole proprietor health care provider with primary practice located at 4425 Memorial Dr , Decatur GA 30032-1337. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Johnson, Jacqueline Ruth can be contacted via phone (404) 298-8383.

Contact Information

Primary practice address
4425 Memorial Dr Decatur GA 30032-1337
Phone: (404) 298-8383
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 146319 Georgia

Profile Details

NPI number 1750504353
LBN Legal business name Johnson, Jacqueline Ruth
Credentials M.DIV.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Jul 8th, 2007 - about 18 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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