Jacquelyn Gabrielle Kistenberg, RNFA Valid NPI

Individual provider · Registered Nurse First Assistant · Chamblee, GA

NPI

1518370428

Type

Individual (Type 1)

Primary specialty

Registered Nurse First Assistant (Registered Nurse)

Specialty group

Nursing Service Providers

Taxonomy code

163WR0006X

License number

195446 (GA)

Sex

Female

Sole proprietor

Yes

Enumerated

2014-06-09

Last updated

2017-11-29