JACQUELINE SMALL

CUMMING, GA
NPI1407415615
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN224391)
Enumeration Date2019-06-11
Last Update Date2019-06-11
Business Address
JACQUELINE SMALL
407 W MAPLE ST # 101
CUMMING, GA 30040
Phone number: 770-888-6697
Mailing Address
JACQUELINE SMALL
3910 PLANTATION MILL DR
BUFORD, GA 30519-1970
Phone number: 770-314-8027