IndividualActive
Jerome Ndikumukiza
NPI 1881494490 · Personal Care Attendant · Clarkston, GA
Provider details
- NPI number
- 1881494490
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
3938 E Ponce De Leon Ave Ste D
Clarkston, GA 30021-8104
Phone: (404) 964-2147
Approximate (ZIP-level) locationGet directions
Mailing address
3938 E Ponce De Leon Ave Ste D
Clarkston, GA 30021-8104
Registry dates
- Enumerated
- 2025-03-14
- Last updated
- 2025-03-14
- Certified
- 2025-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.