| NPI | 1619226834 |
|---|---|
| Former Name | MARJAY G JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN178428) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11024504) |
| 163W00000X Registered Nurse (Licence: GA RN178428) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402618) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC005178) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN178428) | |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2026-01-23 |