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1578118048
JACQUELINE DENISE ROSS
JONESBORO, GA
NPI
1578118048
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Former Name
JACQUELINE R JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: AL AG06190206)
Enumeration Date
2019-08-01
Last Update Date
2024-10-24
Business Address
Ms. JACQUELINE DENISE ROSS CRNP
1117 BATTLECREEK RD
JONESBORO, GA 30236-2407
Phone number: 678-610-7199
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Mailing Address
Ms. JACQUELINE DENISE ROSS CRNP
PO BOX 11087
MONTGOMERY, AL 36111-0087
Phone number: 334-481-1599
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