Jacqueline Arana
Individual provider Active NPI Physician Assistant · Dalton, GA
NPI 1114810504 · NPPES record last updated Jun 2, 2025
Key facts
- NPI
- 1114810504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1102 W Waugh St
Dalton, GA 30720-8769 - Phone
- (706) 277-2321
- NPI assigned
- Jun 2, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1102 W Waugh St
Dalton, GA 30720-8769
Mailing address
1102 W Waugh St
Dalton, GA 30720-8769
Other providers in Dalton, GA
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- Aog Aesthetics
- Apex Spine Center, Inc.
- Karyn L. Apone
- Ar Medical LLC
- Kristi Kae Armstrong
- Jose Pablo Arriaga Flores
- Kenneth Lee Arthur
- Sarah M Arthur
- Whitney Victoria Ashe
All providers in Dalton, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.