Mcdowell, Jacquelyn Nicole

Mcdowell, Jacquelyn Nicole is an individual health care provider with primary practice located at 4000 Shakerag Hl Suite 201, Peachtree City GA 30269-4047. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mcdowell, Jacquelyn Nicole can be contacted via phone (770) 486-7111.

Contact Information

Primary practice address
4000 Shakerag Hl Suite 201 Peachtree City GA 30269-4047
Phone: (770) 486-7111
Fax: (770) 486-7131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN177697 NP Georgia

Profile Details

NPI number 1326373820
LBN Legal business name Mcdowell, Jacquelyn Nicole
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2009
Last updated Feb 21st, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326373820 NPPES
Georgia MEDICAID 208812066A

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