Individual
JACQUELIN PIERRE LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP, APRN
Contact information
Practice address
1120 15TH ST # BA4300, AUGUSTA, GA 30912-0004
(706) 721-3226
(706) 721-7508
Mailing address
1120 15TH ST # BA4300, AUGUSTA, GA 30912-0004
(706) 721-3226
(706) 721-7508
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN-NP307586
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN-NP307586
GA
363LA2200X
Adult Health Nurse Practitioner
APRN-NP307586
GA
363LC0200X
Critical Care Medicine Nurse Practitioner
APRN-NP307586
GA
363LG0600X
Gerontology Nurse Practitioner
APRN-NP307586
GA
Other
Enumeration date
08/25/2025
Last updated
09/05/2025
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