Itelya Jackson, RN

NPI #1811352412 in Winston, Georgia

Provider Information

NPI Number
1811352412
Entity Type
Individual
Name
Itelya Jackson, RN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
In Home Supportive Care
Credential
RN
Enumeration Date
Dec 23, 2015
Last Updated
Dec 23, 2015

Practice Location

Address
6957 PINE SHADOW WAY
State
Georgia
ZIP Code
30187-2150
Phone
(678) 540-4446

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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