Jackson, Stephanie D
Jackson, Stephanie D is an individual health care provider with primary practice located at 4605 Chestnut Oak St , Loganville GA 30052-9408. She recently has 14 registered licenses in different health care specialties including Nursing Service Providers / Case Management, Nursing Service Providers / Enterostomal Therapy, Nursing Service Providers / Home Health, Nursing Service Providers / Community Health, Nursing Service Providers / Diabetes Educator, Nursing Service Providers / Administrator, Nursing Service Providers / Hospice, Nursing Service Providers / Infusion Therapy, Nursing Service Providers / Nutrition Support, Nursing Service Providers / Pain Management, Nursing Service Providers / Wound Care, Nursing Service Providers / Orthopedic, Nursing Service Providers / Ostomy Care, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Jackson, Stephanie D can be contacted via phone (423) 227-8576.Contact Information
Primary practice address
4605 Chestnut Oak St
Loganville GA 30052-9408
Phone: (423) 227-8576
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Case Management | 163WC0400X | RN210155 | Georgia |
Nursing Service Providers / Enterostomal Therapy | 163WE0900X | RN210155 | Georgia |
Nursing Service Providers / Home Health | 163WH0200X | RN | Georgia |
Nursing Service Providers / Community Health | 163WC1500X | RN | Georgia |
Nursing Service Providers / Diabetes Educator | 163WD0400X | RN210155 | Georgia |
Nursing Service Providers / Administrator | 163WA2000X | RN210155 | Georgia |
Nursing Service Providers / Hospice | 163WH1000X | RN | Georgia |
Nursing Service Providers / Infusion Therapy | 163WI0500X | RN | Georgia |
Nursing Service Providers / Nutrition Support | 163WN1003X | RN210155 | Georgia |
Nursing Service Providers / Pain Management | 163WP0000X | RN210155 | Georgia |
Nursing Service Providers / Wound Care | 163WW0000X | RN210155 | Georgia |
Nursing Service Providers / Orthopedic | 163WX0800X | RN210155 | Georgia |
Nursing Service Providers / Ostomy Care | 163WX1500X | RN210155 | Georgia |
Nursing Service Providers / Registered Nurse | 163W00000X | RN210155 | Georgia |
Profile Details
NPI number | 1902559784 |
---|---|
LBN Legal business name | Jackson, Stephanie D |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 1st, 2022 |
Last updated | Feb 1st, 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.
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