Jacquita Gresham
Jacquita Gresham is a Home Health Clinical Nurse Specialist in Covington, Georgia. Licensed in Georgia. Registered with an NPI since 2022.
- Licensed in
- GA
- In the registry since
- 2022
Practice location Address checks out
95 Stone Ridge WayCovington, GA 30016-6923
Phone: (470) 621-5877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Clinical Nurse Specialist (primary) | Taxonomy 364SH0200X · Licence 873976524 (GA) |
|---|
Record details
| NPI number | 1902538887 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 28, 2022 |
| Last updated in NPPES | June 28, 2022 |
| Certification date | June 28, 2022 |
| Mailing address | 95 Stone Ridge Way, Covington, GA 30016-6923 |