Individual
MISS JOY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4152 BAKER ST NE, COVINGTON, GA 30014-1404
(770) 788-1077
(770) 805-9329
Mailing address
4152 BAKER ST NE, COVINGTON, GA 30014-1404
(770) 788-1077
(770) 805-9329
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN063451
GA
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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