Individual
CARRIE B. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MBA
Contact information
Practice address
157 BURKE ST STE 119, STOCKBRIDGE, GA 30281-3444
(678) 249-9311
(404) 393-7767
Mailing address
25 CLOUD FOREST CT, STOCKBRIDGE, GA 30281-1451
(770) 377-4834
(404) 393-7767
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN070257
GA
Other
Enumeration date
05/04/2012
Last updated
02/09/2017
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