Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ITELYA JACKSON, RN
Active Sole ProprietorITELYA JACKSON, RN is a In Home Supportive Care Agency healthcare provider located in WINSTON, Georgia. NPI 1811352412 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · WINSTON, GA
Registration Details
- NPI Number
- 1811352412
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 23, 2015 (10.63719864255 yrs)
- Last Updated
- Dec 23, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
6957 PINE SHADOW WAYWINSTON, GA, 301872150Browse GA providers · Browse ZIP 30187
- Phone
- 6785404446
- Fax
- 6785404426
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
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.