Individual
YULANDA MICHELLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 PATRICK HENRY PKWY, MCDONOUGH, GA 30253-4207
(470) 713-2000
Mailing address
244 RANKIN CIR, MCDONOUGH, GA 30253-8688
(323) 347-8669
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
RN316186
GA
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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