IndividualActive
Jacqueline Johnson
NPI 1841026192 · Attendant Care Provider · Douglasville, GA
Provider details
- NPI number
- 1841026192
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
4775 Smokestone Dr
Douglasville, GA 30135-4992
Phone: (216) 509-0781
Approximate (ZIP-level) locationGet directions
Mailing address
4775 Smokestone Dr
Douglasville, GA 30135-4992
Registry dates
- Enumerated
- 2024-09-12
- Last updated
- 2024-09-12
- Certified
- 2024-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.