Individual provider · NPI-1
Jacquelyn Daniel, CNA
Nurse's Aide · Mableton, GA
NPI number1740852375
StatusActive
Last updated in NPPESJul 13, 2021
Details
- NPI
- 1740852375
- Entity type
- Individual (NPI-1)
- Name
- Jacquelyn Daniel
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2021
- Certification date
- Jul 13, 2021
- Last updated
- Jul 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | cn0000038537 | GA | Yes |
Practice location
919 Green Valley Rd SwMableton, GA 30126-1507
Phone 334-384-3714
Mailing address
919 Green Valley Rd SwMableton, GA 30126-1507
Phone 334-384-3714
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