Jackson, Amelia

Jackson, Amelia is an individual health care provider with primary practice located at 1061 Harmon Ave , Fort Stewart GA 31314-5641. She recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Administrator, Nursing Service Providers / Case Management, Nursing Service Providers / Pediatrics, Nursing Service Providers / Ambulatory Care. Nursing Service Providers / Administrator is her primary health care specialty. Jackson, Amelia can be contacted via phone (912) 435-5541.

Contact Information

Primary practice address
1061 Harmon Ave Fort Stewart GA 31314-5641
Phone: (912) 435-5541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 740612 Texas
Nursing Service Providers / Administrator 163WA2000X 740612 Texas
Nursing Service Providers / Case Management 163WC0400X 740612 Texas
Nursing Service Providers / Pediatrics 163WP0200X 740612 Texas
Nursing Service Providers / Ambulatory Care 163WP2201X 740612 Texas

Profile Details

NPI number 1801299201
LBN Legal business name Jackson, Amelia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2014
Last updated Sep 30th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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