Search › Georgia › 363LF0000X
Stephanie Jackson, NP
NPI 1255512984 · on the registry since 2007 · sole proprietor
Practice
- Address
- 711 Trestle Rd
Locust Grove, GA 30248 - Phone
- (770) 914-5934
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia