Search › Georgia › 106S00000X
Kelsea Jackson
NPI 1851020150 · on the registry since 2022 · sole proprietor
Practice
- Address
- 342 Leafmore Rd Sw Apt 2
Rome, GA 30165 - Phone
- (404) 914-8534
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-10
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