Jackson, Penny Denise

Jackson, Penny Denise is an sole proprietor health care provider with primary practice located at 178 Progress Way , Rocky Face GA 30740-7748. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Jackson, Penny Denise can be contacted via phone (706) 537-4777.

Contact Information

Primary practice address
178 Progress Way Rocky Face GA 30740-7748
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1023870862
LBN Legal business name Jackson, Penny Denise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2024
Last updated Jan 31st, 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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