Jackson, Kierra
Jackson, Kierra is an individual health care provider with primary practice located at 118 Baybridge Dr , Brunswick GA 31525-1817. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Patient Transport, which is considered as her primary health care specialty. Jackson, Kierra can be contacted via phone (912) 689-6970.Contact Information
Primary practice address
118 Baybridge Dr
Brunswick GA 31525-1817
Phone: (912) 689-6970
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Patient Transport | 2279P4000X |
Profile Details
NPI number | 1609589480 |
---|---|
LBN Legal business name | Jackson, Kierra |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 27th, 2022 |
Last updated | Dec 27th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609589480 | NPPES |
Georgia | Other | 053324374 | ID |
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