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

MRS. STEPHANIE D JACKSON, RN

Active

MRS. STEPHANIE D JACKSON, RN is a Registered Nurse healthcare provider located in LOGANVILLE, Georgia. NPI 1902559784 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · LOGANVILLE, GA

Registration Details

NPI Number
1902559784
Provider Type
Individual
Gender
Female
NPI Issued
Feb 1, 2022 (4.349640272357 yrs)
Last Updated
Feb 1, 2022
Licenses
RN210155 (GA)
RN210155 (GA)
RN (GA)
RN (GA)
RN210155 (GA)

Practice Information

Address
4605 CHESTNUT OAK ST
LOGANVILLE, GA, 300529408
Browse GA providers · Browse ZIP 30052
Phone
4232278576
Primary Specialty
Registered Nurse
163W00000X
Additional Specialty
Enterostomal Therapy Nurse
Additional Specialty
Home Health Nurse
Additional Specialty
Community Health Nurse
Additional Specialty
Diabetes Educator Nurse

Other Registered Nurse Providers in LOGANVILLE, GA

Name Credential NPI
JACQUELINE PEAN 1134431596
MARGARET LESIA WELLS 1487014288
MISS GEORGETTE A GYAMFI RN 1235582883
SHAKEIA YETTA FORD RN 1306367107
MISS JOANN YAMILE STVIL RN 1629585575
MRS. ARTINA KINGSBURY-TAYLOR RN 1659847879
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.