Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRYSTAL JACKSON, LPN
Active Sole ProprietorCRYSTAL JACKSON, LPN is a Licensed Practical Nurse healthcare provider located in MC INTYRE, Georgia. NPI 1598140725 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · MC INTYRE, GA
Registration Details
- NPI Number
- 1598140725
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 29, 2015 (11.056862751207 yrs)
- Last Updated
- Jul 29, 2015
- License
-
LPN090801 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1585 HOLLOWAY RAY RDMC INTYRE, GA, 310542469Browse GA providers · Browse ZIP 31054
- Phone
- 4782341166
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
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.