Individual
MRS. KAREN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-1392
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-1392
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN154780
GA
163WM0102X
Maternal Newborn Registered Nurse
RN154780
GA
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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