Individual provider · Type 1 NPI
Jacqueline Carolyn Edwards, N.P., RN
Family Nurse Practitioner · Jonesboro, GA
NPI number
1740688910
Active
Practice location
8081 Tara Blvd, 265
Jonesboro, GA 30236
Fax (188) 829-1928
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 28131113A (IN) |
| Registered Nurse | 163W00000X | RN139678 (GA) |
| Family Nurse Practitioner Primary | 363LF0000X | RN139678 (GA) |
| Family Nurse Practitioner | 363LF0000X | 71005657A (IN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1740688910
Jacqueline Carolyn Edwards, N.P., RN's National Provider Identifier is 1740688910, issued on Dec 19, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jonesboro, GA. The record was last updated on Dec 13, 2016.