Individual
RASHONDA ALLEN-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
124 SMITH ST NE, ROME, GA 30161-5271
(706) 331-8820
Mailing address
124 SMITH ST NE, ROME, GA 30161-5271
(706) 331-8820
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN084646
GA
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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