Jackson, Edwina Sue
Jackson, Edwina Sue is an individual health care provider with primary practice located at 1120 W Broad Ave Suite C 4, Albany GA 31707-4397. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Jackson, Edwina Sue can be contacted via phone (229) 430-6061.Contact Information
Primary practice address
1120 W Broad Ave Suite C 4
Albany GA 31707-4397
Phone: (229) 430-6061
Fax: (229) 430-6002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN171447 | Georgia |
Profile Details
| NPI number | 1013345925 |
|---|---|
| LBN Legal business name | Jackson, Edwina Sue |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2013 |
| Last updated | Oct 31st, 2013 - about 12 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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