Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PENNY TRONELL JACKSON, D.C.
Active Sole ProprietorDR. PENNY TRONELL JACKSON, D.C. is a Chiropractor healthcare provider located in WILLACOOCHEE, Georgia. NPI 1194997270 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · WILLACOOCHEE, GA
Registration Details
- NPI Number
- 1194997270
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2008 (18.383951236513 yrs)
- Last Updated
- Apr 22, 2008
- License
-
CHIR008305 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1161 HIGHWAY 135 SSUITE 1WILLACOOCHEE, GA, 316507747Browse GA providers · Browse ZIP 31650
- Phone
- 9123810064
- Fax
- 9125346176
- Primary Specialty
-
Chiropractor
111N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.