DEMETRIA A JACKSON

WOODSTOCK, GA
NPI1972303329
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  246390)
Enumeration Date2025-03-14
Last Update Date2025-03-14
Business Address
DEMETRIA A JACKSON PMHNP-BC
270 HERITAGE WALK
WOODSTOCK, GA 30188-3875
Phone number: 982-977-0618
Mailing Address
DEMETRIA A JACKSON PMHNP-BC
2624 CHASE RDG
KENNESAW, GA 30144-0300
Phone number: 404-865-4215
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