Duso, Jacqueline

Duso, Jacqueline is an individual health care provider with primary practice located at 705 Dixie St , Carrollton GA 30117-3818. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Duso, Jacqueline can be contacted via phone (800) 232-5703.

Contact Information

Primary practice address
705 Dixie St Carrollton GA 30117-3818
Phone: (800) 232-5703
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN067548 Georgia

Profile Details

NPI number 1215991831
LBN Legal business name Duso, Jacqueline
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215991831 NPPES
Georgia Other 989891 BCBS

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