Individual
BESSIE MARTIN-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1957 LAKESIDE PKWY STE 500, TUCKER, GA 30084-5859
(770) 270-9898
(770) 270-9896
Mailing address
4476 YORKDALE DR, DECATUR, GA 30035-4262
(470) 273-4373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN154263
GA
Other
Enumeration date
04/27/2017
Last updated
05/03/2017
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