TANYA TAMARA JACKSON

ATLANTA, GA
NPI1891583258
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  R242369)
Enumeration Date2025-04-28
Last Update Date2025-04-28
Business Address
TANYA TAMARA JACKSON APRN
968 BROOKMERE CT
ATLANTA, GA 30349-6866
Phone number: 470-633-0313
Mailing Address
TANYA TAMARA JACKSON APRN
968 BROOKMERE CT
ATLANTA, GA 30349-6866
Phone number: 470-633-0313
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