Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JACQUELYN GABRIELLE KISTENBERG, RNFA
Active Sole ProprietorMS. JACQUELYN GABRIELLE KISTENBERG, RNFA is a Registered Nurse First Assistant healthcare provider located in CHAMBLEE, Georgia. NPI 1518370428 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse First Assistant · CHAMBLEE, GA
Registration Details
- NPI Number
- 1518370428
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 9, 2014 (12.144981181627 yrs)
- Last Updated
- Nov 29, 2017
- License
-
195446 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4052 COMMODORE DRCHAMBLEE, GA, 303411556Browse GA providers · Browse ZIP 30341
- Phone
- 6784444175
- Fax
- 4046018404
- Primary Specialty
-
Registered Nurse First Assistant
163WR0006X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.