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Jacquita Gresham
Home Health Clinical Nurse Specialist in Covington, Georgia
NPI 1902538887

Jacquita Gresham is a Home Health Clinical Nurse Specialist based in Covington, GA and is specialized in Home Health. Jacquita Gresham practices in Covington, GA. The NPI Number for Jacquita Gresham is 1902538887 and holds a License No. 873976524 (Georgia).

The current practice location address for Jacquita Gresham is 95 Stone Ridge Way, Covington, GA and can be reached out via phone at 470-621-5877.

Location: 95 Stone Ridge Way, Covington, GA, 30016-6923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902538887
Provider Name
Jacquita Gresham
Credential
Provider Entity Type
Individual
Gender
Female
Address
95 Stone Ridge Way, Covington, GA, 30016-6923
Phone Number
470-621-5877
Fax Number
Provider Enumeration Date
06/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
95 Stone Ridge Way
City
Covington
State
Georgia
Zip
30016-6923
Phone Number
470-621-5877
Fax Number
person
Provider Business Mailing Address Details
Address
95 Stone Ridge Way
City
Covington
State
Georgia
Zip
30016-6923
Phone Number
470-621-5877
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Home Health
Taxonomy
364SH0200X
License No.
873976524 (Georgia)
Definition
Definition to come...
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