Individual provider · Type 1 NPI
Jacqueline Small
Family Nurse Practitioner · Cumming, GA
NPI number
1407415615
Active
Practice location
407 W Maple St # 101
Cumming, GA 30040
Mailing address
3910 Plantation Mill Dr
Buford, GA 30519-1970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN224391 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1407415615
Jacqueline Small's National Provider Identifier is 1407415615, issued on Jun 11, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cumming, GA. The record was last updated on Jun 11, 2019.