Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUANNA JACKSON
ActiveJACQUANNA JACKSON is a Nurse's Aide healthcare provider located in MONTEZUMA, Georgia. NPI 1316791106 is currently active in the NPPES registry. Verify at CMS.
Nurse's Aide · MONTEZUMA, GA
Registration Details
- NPI Number
- 1316791106
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 16, 2024 (2.3503073094366 yrs)
- Last Updated
- Apr 16, 2024
- License
-
CN0028886420 (GA)
Practice Information
- Address
-
942 HORSESHOE BEND RDMONTEZUMA, GA, 310636518Browse GA providers · Browse ZIP 31063
- Phone
- 2293318885
- Primary Specialty
-
Nurse's Aide
376K00000X
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.