Kistenberg, Jacquelyn Gabrielle

Kistenberg, Jacquelyn Gabrielle is an sole proprietor health care provider with primary practice located at 4052 Commodore Dr , Chamblee GA 30341-1556. She recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as her primary health care specialty. Kistenberg, Jacquelyn Gabrielle can be contacted via phone (678) 444-4175.

Contact Information

Primary practice address
4052 Commodore Dr Chamblee GA 30341-1556
Phone: (678) 444-4175
Fax: (404) 601-8404
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 195446 Georgia

Profile Details

NPI number 1518370428
LBN Legal business name Kistenberg, Jacquelyn Gabrielle
Credentials RNFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2014
Last updated Nov 29th, 2017 - about 7 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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