Jacqueline Small

NPI #1407415615 in Cumming, Georgia

Provider Information

NPI Number
1407415615
Entity Type
Individual
Name
Jacqueline Small
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jun 11, 2019
Last Updated
Jun 11, 2019

Practice Location

Address
407 W MAPLE ST # 101
State
Georgia
ZIP Code
30040
Phone
(770) 888-6697

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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