COURTNEY TAMARA JACKSON

VALDOSTA, GA
NPI1457966509
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  F09200417)
Enumeration Date2020-09-14
Last Update Date2020-09-14
Business Address
Ms. COURTNEY TAMARA JACKSON NP
407 COWART AVE
VALDOSTA, GA 31602-2635
Phone number: 229-242-1187
Mailing Address
Ms. COURTNEY TAMARA JACKSON NP
5380 JACKSON RD
MORVEN, GA 31638-3935
Phone number: 229-292-6275