Individual
MS. ALICE JACQUELINE HASKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2200 HIGHWAY 155 N, MCDONOUGH, GA 30252-4846
(678) 490-0341
(678) 490-0349
Mailing address
3333 RIVERWOOD PKWY SE STE 250, ATLANTA, GA 30339-3304
(770) 914-0116
(770) 955-4278
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
234600
NC
363LF0000X
Family Nurse Practitioner
5010499
NC
363LF0000X
Family Nurse Practitioner
Primary
RN286041
GA
Other
Enumeration date
05/03/2010
Last updated
03/12/2025
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