Individual
MRS. VELLETTA ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CRRN
Contact information
Practice address
611 PINE AVE, ALBANY, GA 31701-2403
(229) 288-3879
Mailing address
2303 E ALBERSON DR, ALBANY, GA 31721-2045
(229) 288-3879
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
108011
GA
163W00000X
Registered Nurse
108011
GA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
108011
GA
163WA2000X
Administrator Registered Nurse
108011
GA
163WC0400X
Case Management Registered Nurse
108011
GA
163WC1500X
Community Health Registered Nurse
Primary
108011
GA
163WC1600X
Continuing Education/Staff Development Registered Nurse
108011
GA
163WD0400X
Diabetes Educator Registered Nurse
108011
GA
163WH0200X
Home Health Registered Nurse
108011
GA
163WN1003X
Nutrition Support Registered Nurse
108011
GA
163WP0000X
Pain Management Registered Nurse
108011
GA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
108011
GA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
108011
GA
163WR0400X
Rehabilitation Registered Nurse
108011
GA
376G00000X
Nursing Home Administrator
108011
GA
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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