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1578232443
ANDREA ROLANDA JACKSON
EVANS, GA
NPI
1578232443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA RN186919)
Enumeration Date
2021-09-13
Last Update Date
2023-11-27
Business Address
ANDREA ROLANDA JACKSON PMHNP
1202 TOWN PARK LN STE 300
EVANS, GA 30809-3477
Phone number: 706-432-6866
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Mailing Address
ANDREA ROLANDA JACKSON PMHNP
864 LAKE ROYAL DR
GROVETOWN, GA 30813-4516
Phone number: 443-822-6648
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