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1306368329
CARMEN YOLANDA JACKSON
WAYCROSS, GA
NPI
1306368329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN149316)
Enumeration Date
2017-07-11
Last Update Date
2022-07-21
Business Address
CARMEN YOLANDA JACKSON FNP
1900 TEBEAU ST
WAYCROSS, GA 31501-6357
Phone number: 912-287-2555
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Mailing Address
CARMEN YOLANDA JACKSON FNP
1900 TEBEAU ST
WAYCROSS, GA 31501-6357
Phone number: 912-287-2555
Copy
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