Individual
EUNIKA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1270 SPRING ST NW UNIT 642, ATLANTA, GA 30309-3095
(504) 339-6452
Mailing address
1270 SPRING ST NW UNIT 642, ATLANTA, GA 30309-3095
(504) 339-6452
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
153238
LA
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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