Jackson, Elizabeth A.
Jackson, Elizabeth A. is an individual health care provider with primary practice located at 745 Poplar Rd , Newnan GA 30265-1618. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Jackson, Elizabeth A. can be contacted via phone (404) 367-3014.Contact Information
Primary practice address
745 Poplar Rd
Newnan GA 30265-1618
Phone: (404) 367-3014
Fax: (404) 367-3558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN146361 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | RN146361 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 364SG0600X | RN146361 | Georgia |
Profile Details
| NPI number | 1477959914 |
|---|---|
| LBN Legal business name | Jackson, Elizabeth A. |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2014 |
| Last updated | May 16th, 2016 - about 9 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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