ANTONINA GABRIELLE JACKSON

ATLANTA, GA
NPI1760786156
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN140032 NP)
Enumeration Date2010-12-29
Last Update Date2012-08-16
Business Address
-- ANTONINA GABRIELLE JACKSON NP
1800 HOWELL MILL RD NW SUITE 450
ATLANTA, GA 30318-2538
Phone number: 404-355-4393
Mailing Address
-- ANTONINA GABRIELLE JACKSON NP
1800 HOWELL MILL RD NW SUITE 450
ATLANTA, GA 30318-2538
Phone number: 404-355-4393