Search › Georgia › 253Z00000X
Itelya Jackson, RN
NPI 1811352412 · on the registry since 2015 · sole proprietor
Practice
- Address
- 6957 Pine Shadow Way
Winston, GA 30187 - Phone
- (678) 540-4446
- Fax
- (678) 540-4426
- Organisation at this address
- Ilive Home Care Services
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Sex
- Female
- Record last updated
- 2015-12-23
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