Individual
JACQUELINE RICHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6300 HOSPITAL PKWY STE 260, JOHNS CREEK, GA 30097-1829
(770) 454-4685
(770) 454-4690
Mailing address
5333 BRENDLYNN DR, SUWANEE, GA 30024-7556
(816) 352-0121
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2016013133
TX
363L00000X
Nurse Practitioner
RN280432
GA
Other
Enumeration date
09/25/2020
Last updated
09/01/2022
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