Individual
COURTNEY NICOLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3345 KENSINGTON RD # 216, DECATUR, GA 30032-1512
(470) 544-8275
Mailing address
3345 KENSINGTON RD # 216, DECATUR, GA 30032-1512
(470) 544-8275
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
C7A2B8M7
GA
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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