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Individual

JACQUITA NICOLE BALDWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
106 MORAN DR, BONAIRE, GA 31005-5106
(478) 988-1282
(478) 988-3120
Mailing address
106 MORAN DR, BONAIRE, GA 31005-5106
(478) 988-1282
(478) 988-3120

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN204398
GA

Other

Enumeration date
10/16/2019
Last updated
09/18/2023
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