Jacchia, Kelly Michelle

Jacchia, Kelly Michelle is an sole proprietor health care provider with primary practice located at 110 N Corners Pkwy Ste 100 , Cumming GA 30040-2077. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Jacchia, Kelly Michelle can be contacted via phone (770) 888-2882.

Contact Information

Primary practice address
110 N Corners Pkwy Ste 100 Cumming GA 30040-2077
Phone: (770) 888-2882
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN138990 Georgia

Profile Details

NPI number 1144334095
LBN Legal business name Jacchia, Kelly Michelle
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 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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