LAVERNE L. JACKSON

CONYERS, GA
NPI1295897189
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WC1500X Registered Nurse, Community Health
(Licence: GA  RN158642)
Enumeration Date2006-12-15
Last Update Date2007-07-08
Business Address
-- LAVERNE L. JACKSON RN,ICADC
977A TAYLOR ST SW
CONYERS, GA 30012-5357
Phone number: 770-918-6677
Mailing Address
-- LAVERNE L. JACKSON RN,ICADC
1894 DELPHINE DR
DECATUR, GA 30032-3927
Phone number:
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