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Destiny Jackson
NPI 1861335580 · on the registry since 2026
Practice
- Address
- 1240 Ohara Dr
2304
Jonesboro, GA 30236 - Phone
- (678) 228-0936
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-09
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