| 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 | 163W00000X Registered Nurse (Licence: GA RN178428) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2023-02-08 |