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

JEZZALYN JACKSON

Active

JEZZALYN JACKSON is a Behavior Technician healthcare provider located in ELLENWOOD, Georgia. NPI 1811775372 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · ELLENWOOD, GA

Registration Details

NPI Number
1811775372
Provider Type
Individual
Gender
Female
NPI Issued
Sep 18, 2023 (2.8805106761182 yrs)
Last Updated
Sep 18, 2023

Practice Information

Address
4675 RIVER HILL CIR
ELLENWOOD, GA, 302941884
Browse GA providers · Browse ZIP 30294
Phone
6782373428
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in ELLENWOOD, GA

Name Credential NPI
SHAQUANNA CARR 1922776426
ARNELL RORIE FOOTMAN 1669132635
CYNTHIA MACK-MCMORRIS 1669167318
JULIA-INEZ M MINNITEE 1629762109
SOLIA CRIGLER 1235900580
RENISHA MORROW 1376302471
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.