Jacqueline V McIntosh-Grant, RN BA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN071576 Issued in GA

Practice address

1105 West Peachtree St NW
Atlanta, GA 30309-3608

Phone

(404) 853-2800

Fax

(404) 759-2753

NPI assigned

Jul 18, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1710141742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 EMBASSY WAY",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300477828",
            "telephone_number": "678-485-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 WEST PEACHTREE ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093608",
            "telephone_number": "404-853-2800",
            "fax_number": "404-759-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH-GRANT",
        "first_name": "JACQUELINE",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "RN BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN071576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tayari McHezaji, MD
• Nancy C McInnis, PA
• Samantha McInnis, LPC, NCC, MS
• Bailey Joyner McIntire, MS, RD, LD
• Megan McIntire
• Andrea Regina McIntosh, PA
• Ayanna Elizabeth McIntosh, PHARMD
• Basil McIntosh
• Belinda Julie McIntosh, MD
• Breanna McIntosh, DMD

• Registered Nurse in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.