SHACARYA JACKSON

MACON, GA
NPI1982317764
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  RN254432)
Enumeration Date2022-12-27
Last Update Date2026-05-16
Business Address
SHACARYA JACKSON APRN
145 1ST ST
MACON, GA 31201-2627
Phone number: 478-215-2398
Mailing Address
SHACARYA JACKSON APRN
6711 CHRISWOOD DR
MACON, GA 31216-6721
Phone number: 478-215-2398