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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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