Jackson, Chineta
Jackson, Chineta is an sole proprietor health care provider with primary practice located at 175 Kirkland Rd , Covington GA 30016-3317. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Jackson, Chineta can be contacted via phone (678) 209-2555.Contact Information
Primary practice address
175 Kirkland Rd
Covington GA 30016-3317
Phone: (678) 209-2555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | RN248343 | Georgia |
Profile Details
| NPI number | 1588170013 |
|---|---|
| LBN Legal business name | Jackson, Chineta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2017 |
| Last updated | Dec 20th, 2017 - about 7 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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