KIBIBI A JACKSON

RIVERDALE, GA
NPI1831790526
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  RN265070)
Additional Taxonomies163WE0003X Registered Nurse, Emergency
(Licence: GA  RN265070)
Enumeration Date2020-11-08
Last Update Date2025-09-27
Business Address
KIBIBI A JACKSON FNP-BC
483 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274-2584
Phone number: 770-996-9400
Mailing Address
KIBIBI A JACKSON FNP-BC
483 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274-2584
Phone number: 770-996-9400