Individual
MRS. STEPHANIE D JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4605 CHESTNUT OAK ST, LOGANVILLE, GA 30052-9408
(423) 227-8576
Mailing address
4605 CHESTNUT OAK ST, LOGANVILLE, GA 30052-9408
(423) 227-8576
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN210155
GA
163WA2000X
Administrator Registered Nurse
RN210155
GA
163WC0400X
Case Management Registered Nurse
RN210155
GA
163WC1500X
Community Health Registered Nurse
RN
GA
163WD0400X
Diabetes Educator Registered Nurse
RN210155
GA
163WE0900X
Enterostomal Therapy Registered Nurse
RN210155
GA
163WH0200X
Home Health Registered Nurse
RN
GA
163WH1000X
Hospice Registered Nurse
RN
GA
163WI0500X
Infusion Therapy Registered Nurse
RN
GA
163WN1003X
Nutrition Support Registered Nurse
RN210155
GA
163WP0000X
Pain Management Registered Nurse
RN210155
GA
163WW0000X
Wound Care Registered Nurse
RN210155
GA
163WX0800X
Orthopedic Registered Nurse
RN210155
GA
163WX1500X
Ostomy Care Registered Nurse
RN210155
GA
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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