Hairston, Jacquelyn

Hairston, Jacquelyn is an sole proprietor health care provider with primary practice located at 297 Cooper Rd , Loganville GA 30052-2518. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Hairston, Jacquelyn can be contacted via phone (678) 381-2630.

Contact Information

Primary practice address
297 Cooper Rd Loganville GA 30052-2518
Phone: (678) 381-2630
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN299265 Georgia

Profile Details

NPI number 1972382240
LBN Legal business name Hairston, Jacquelyn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2023
Last updated Sep 26th, 2023 - about 3 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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