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MRS. JACQUELINE HOOKS LANGSTON CNM

>> Midwife, Certified Nurse >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1316017619

Individual Registrant:
MRS. JACQUELINE HOOKS LANGSTON CNM
Gender: F
Sole Proprietor

Location and contact information for practice:
1701 HARDEE AVE SW  FT. MCPHERSON, GA 30330-1062 US
Tel: 404-464-0320  Fax: --

Contact information for business:
546 RAYS RD  STONE MOUNTAIN, GA 30083-3143 US
Tel: 404-299-5304  Fax: --

Registration Information:
NPI: 1316017619
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367A00000XPhysician Assistants & Advanced Practice Nursing Providers
Midwife, Certified Nurse
NC2392

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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