Individual
KRISTY LEE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
255 E PACES FERRY RD NE, ATLANTA, GA 30305-2233
(260) 246-8599
Mailing address
255 E PACES FERRY RD NE, ATLANTA, GA 30305-2233
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28261182A
IN
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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