Individual
JACQUELINE DIONE KENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
524 COVENTRY WAY, MCDONOUGH, GA 30252-3627
(347) 752-8197
Mailing address
524 COVENTRY WAY, MCDONOUGH, GA 30252-3627
(347) 752-8197
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
188379
GA
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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