JUREA JUANITA JACKSON

WAYNESBORO, GA
NPI1700060522
Former NameJUREA JUANITA COPELAND
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  LPN074224)
Enumeration Date2007-12-28
Last Update Date2007-12-28
Business Address
Mrs. JUREA JUANITA JACKSON LPN
351 S LIBERTY ST
WAYNESBORO, GA 30830-9686
Phone number: 706-554-4435
Mailing Address
Mrs. JUREA JUANITA JACKSON LPN
5028 RIVER RD
WAYNESBORO, GA 30830-7533
Phone number: 706-554-9923