| NPI | 1487332284 |
|---|---|
| Former Name | JONI MELINDA JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP001470) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2023-09-06 |