Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JUDY MARIE JACKSON
Active Sole ProprietorAssisted Living Facility · REX, GA
Registration Details
- NPI Number
- 1548671316
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 15, 2014 (11.934889297781 yrs)
- Last Updated
- May 15, 2014
- License
-
031-01-129-1 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5941 WILERSON RD.REX, GA, 302731506Browse GA providers · Browse ZIP 30273
- Phone
- 6782841355
- Fax
- 6782841355
- Primary Specialty
-
Assisted Living Facility
311ZA0620X
Other Assisted Living Facility Providers in REX, GA
| Name | Credential | NPI |
|---|---|---|
| TRACIA A A WALTERS | — | 1275414823 |
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.