Search › Georgia › 163W00000X
Jacqueline Pean
NPI 1134431596 · on the registry since 2010
Practice
- Address
- 3188 Krisam Creek Dr
Loganville, GA 30052 - Phone
- (404) 553-6671
- Organisation at this address
- Ageless Private Home Healthcare
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia