Individual
JEWELL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1078 CLIMBING ROSE WAY, MCDONOUGH, GA 30253-1941
(678) 462-6045
Mailing address
1078 CLIMBING ROSE WAY, MCDONOUGH, GA 30253-1941
(678) 462-6045
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PHCP043323
GA
Other
Enumeration date
07/05/2025
Last updated
07/05/2025
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