Search › Georgia › 164W00000X
Crystal Jackson, LPN
NPI 1598140725 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1585 Holloway Ray Rd
Mc Intyre, GA 31054 - Phone
- (478) 234-1166
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- 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