JACQUELINE DENISE ROSS

FAYETTEVILLE, GA
NPI1578118048
Former NameJACQUELINE R JOHNSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: GA  RN323435)
Enumeration Date2019-08-01
Last Update Date2025-02-13
Business Address
Ms. JACQUELINE DENISE ROSS CRNP
108 N PARK DR
FAYETTEVILLE, GA 30214-1645
Phone number: 770-487-7807
Mailing Address
Ms. JACQUELINE DENISE ROSS CRNP
PO BOX 11087
MONTGOMERY, AL 36111-0087
Phone number: 334-481-1599
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