Jackson, Laverne L.

Jackson, Laverne L. is an individual health care provider with primary practice located at 977A Taylor St Sw , Conyers GA 30012-5357. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Jackson, Laverne L. can be contacted via phone (770) 918-6677.

Contact Information

Primary practice address
977A Taylor St Sw Conyers GA 30012-5357
Phone: (770) 918-6677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X RN158642 Georgia

Profile Details

NPI number 1295897189
LBN Legal business name Jackson, Laverne L.
Credentials RN,ICADC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 18 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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