Jackson, Keriana Edwina

Jackson, Keriana Edwina is an sole proprietor health care provider with primary practice located at 1331 Rose Terrace Cir , Loganville GA 30052-9046. She recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Other Service Providers / Health Educator. Other Service Providers / Health Educator is her primary health care specialty. Jackson, Keriana Edwina can be contacted via phone (678) 622-6687.

Contact Information

Primary practice address
1331 Rose Terrace Cir Loganville GA 30052-9046
Phone: (678) 622-6687
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Other Service Providers / Health Educator 174H00000X Georgia

Profile Details

NPI number 1790529329
LBN Legal business name Jackson, Keriana Edwina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2024
Last updated Jun 19th, 2024 - about last year

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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