Jacquelyn Gabrielle Kistenberg, RNFA
Registered Nurse First Assistant · Chamblee, GA
Practice location
4052 Commodore DrChamblee, GA 30341-1556
- Phone
- (678) 444-4175
- Fax
- (404) 601-8404
NPI record
- NPI
- 1518370428
- Entity type
- Individual (Type 1)
- Enumeration date
- June 9, 2014
- Last updated
- November 29, 2017
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse First Assistant Primary | 163WR0006X |
195446 | GA |
Mailing address
5456 Peachtree Blvd # 262Atlanta, GA 30341-2235
- Phone
- (404) 636-0096
About Jacquelyn Kistenberg
Jacquelyn Gabrielle Kistenberg, RNFA is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse First Assistant (code 163WR0006X). The practice location is 4052 Commodore Dr, Chamblee, GA 30341-1556. The NPI number 1518370428 was assigned on June 9, 2014 and the record was last updated on November 29, 2017.
Jacquelyn Kistenberg lists a license in the registry: #195446 (GA) for Registered Nurse First Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jacquelyn Gabrielle Kistenberg, RNFA?
The NPI number is 1518370428.
What is the phone number of Jacquelyn Kistenberg?
The phone number listed for the practice location is (678) 444-4175.
Where is Jacquelyn Kistenberg located?
4052 Commodore Dr, Chamblee, GA 30341-1556.
What is the taxonomy code for Jacquelyn Kistenberg?
The primary taxonomy code is 163WR0006X – Registered Nurse First Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.