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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE S JACKSON

Active

STEPHANIE S JACKSON is a Contractor healthcare provider located in SYLVESTER, Georgia. NPI 1679143747 is currently active in the NPPES registry. Verify at CMS.

Contractor · SYLVESTER, GA

Registration Details

NPI Number
1679143747
Provider Type
Individual
Gender
Female
NPI Issued
Jun 30, 2021 (5.1145704002402 yrs)
Last Updated
Jun 30, 2021

Practice Information

Address
262 PEBBLE HILL CIR
SYLVESTER, GA, 317917759
Browse GA providers · Browse ZIP 31791
Phone
2292062767
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in SYLVESTER, GA

Name Credential NPI
GLENDA LYNITA EVERSON 1013573955
TUNISIA KESHAYE MANUEL 1700532538
MRS. RAPHAELA DENISE WILLIAMS 1861208845
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.