Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUITA GRESHAM
ActiveJACQUITA GRESHAM is a Home Health Clinical Nurse Specialist healthcare provider located in COVINGTON, Georgia. NPI 1902538887 is currently active in the NPPES registry. Verify at CMS.
Home Health Clinical Nurse Specialist · COVINGTON, GA
Registration Details
- NPI Number
- 1902538887
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2022 (4.1755889278259 yrs)
- Last Updated
- Jun 28, 2022
- License
-
873976524 (GA)
Practice Information
- Address
-
95 STONE RIDGE WAYCOVINGTON, GA, 300166923Browse GA providers · Browse ZIP 30016
- Phone
- 4706215877
- Primary Specialty
-
Home Health Clinical Nurse Specialist
364SH0200X
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.