STEPHANIE D JACKSON

LOGANVILLE, GA
NPI1902559784
Former NameSTEPHANIE DENISE RAY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: GA  RN210155)
Additional Taxonomies163WC0400X Registered Nurse, Case Management
(Licence: GA  RN210155)
163WE0900X Registered Nurse, Enterostomal Therapy
(Licence: GA  RN210155)
163WH0200X Registered Nurse, Home Health
(Licence: GA  RN)
163WC1500X Registered Nurse, Community Health
(Licence: GA  RN)
163WD0400X Registered Nurse, Diabetes Educator
(Licence: GA  RN210155)
163WA2000X Registered Nurse, Administrator
(Licence: GA  Rn210155)
163WH1000X Registered Nurse, Hospice
(Licence: GA  RN)
163WI0500X Registered Nurse, Infusion Therapy
(Licence: GA  RN)
163WN1003X Registered Nurse, Nutrition Support
(Licence: GA  RN210155)
163WP0000X Registered Nurse, Pain Management
(Licence: GA  RN210155)
163WW0000X Registered Nurse, Wound Care
(Licence: GA  RN210155)
163WX0800X Registered Nurse, Orthopedic
(Licence: GA  RN210155)
163WX1500X Registered Nurse, Ostomy Care
(Licence: GA  RN210155)
Enumeration Date2022-02-01
Last Update Date2022-02-01
Business Address
Mrs. STEPHANIE D JACKSON RN
4605 CHESTNUT OAK ST
LOGANVILLE, GA 30052-9408
Phone number: 423-227-8576
Mailing Address
Mrs. STEPHANIE D JACKSON RN
4605 CHESTNUT OAK ST
LOGANVILLE, GA 30052-9408
Phone number: 423-227-8576