Individual
MRS. JACQUELINE BORELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
390 RIVERBIRCH LN, LAWRENCEVILLE, GA 30044-4558
(678) 376-2565
(678) 376-2307
Mailing address
390 RIVERBIRCH LN, LAWRENCEVILLE, GA 30044-4558
(678) 376-2565
(678) 376-2307
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22445006
NY
163W00000X
Registered Nurse
R49833
CT
163W00000X
Registered Nurse
Primary
RN141662
GA
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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