Laverne L. Jackson in Conyers - Community Health

Laverne L. Jackson - NPI 1295897189

Laverne L. Jackson is a Community Health in Conyers, Georgia. Laverne L. Jackson practices all healthcare services and medical treatments related to Community Health. The NPI Number for Laverne L. Jackson is 1295897189. The last update date is 2007-07-08.

Laverne L. Jackson's current location address is 977a Taylor St Sw, Conyers, Georgia. You can contact this provider via phone number 7709186677. The mailing address for Laverne L. Jackson is 977a Taylor St Sw, Conyers, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Laverne L. Jackson
Address 977a Taylor St Sw, Conyers, Georgia
Phone Number 7709186677
Fax Number
Sole Proprietor N
Credentials RN,ICADC

NPI Number Detail

NPI Number 1295897189
Provider Enumeration Date 2006-12-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 977a Taylor St Sw
City Conyers
State Georgia (GA)
Post Code 300125357
Phone Number 7709186677
Fax Number

Provider's Primary Taxonomy Detail

Speciality Community Health
Taxonomy 163Wc1500X
Licence No RN158642
Definition:
A registered nurse who improves the health of entire communities and populations.

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FAQs about Laverne L. Jackson

What is the unique 10-digit identification code assigned to Laverne L. Jackson by the Centers for Medicare & Medicaid Services?

The Laverne L. Jackson has been issued the NPI (National Provider Identifier) 1295897189, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Laverne L. Jackson?

The Laverne L. Jackson is situated at 977A Taylor St Sw, in the city of Conyers, state of GA, with the zip code 300125357.

What is Laverne L. Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Laverne L. Jackson's area of specialization is Community Health, and the corresponding taxonomy code that categorizes this field of practice is 163Wc1500X.

On what date was the 1295897189 assigned to Laverne L. Jackson?

The Laverne L. Jackson was issued its 1295897189 on 2006-12-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Laverne L. Jackson's information last updated?

The Laverne L. Jackson's information was last updated on 2007-07-08.

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