Individual
LADEANIA LILTH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
245 N HIGHLAND AVE NE # 230-232, ATLANTA, GA 30307-1936
(470) 575-3554
Mailing address
245 N HIGHLAND AVE NE # 230-232, ATLANTA, GA 30307-1936
(470) 575-3554
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
RN166144
GA
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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