SearchGeorgia253Z00000X

Jessica Jackson

NPI 1396387361 · on the registry since 2019 · sole proprietor

Practice

Address
2643 Portsmouth Pl
Hephzibah, GA 30815
Phone
(309) 230-0903

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Sex
Female
Record last updated
2019-10-11

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