Jeneicia Jackson, | |
270 Heritage Walk, Woodstock, GA 30188-3875 | |
(678) 494-5700 | |
Not Available |
Full Name | Jeneicia Jackson |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 270 Heritage Walk, Woodstock, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427804269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | LPN101803 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jeneicia Jackson, 905 Grier St Apt 203, Woodstock, GA 30189-3495 Ph: () - | Jeneicia Jackson, 270 Heritage Walk, Woodstock, GA 30188-3875 Ph: (678) 494-5700 |
Lorrie Jane Bazzell, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 270 Heritage Walk, Woodstock, GA 30188 Phone: 678-494-5700 | |
Lisa Denita Gamble, NURSE Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 270 Heritage Walk, Woodstock, GA 30188 Phone: 678-494-5700 | |
Cathy Lepeak, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 270 Heritage Walk, Woodstock, GA 30188 Phone: 678-661-5146 | |
Jaycee D Bowers, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 270 Heritage Walk, Woodstock, GA 30188 Phone: 770-618-9829 |