TYNA CARSHELLA JACKSON BSN
Individual Provider (NPI-1)
Active
Registered Nurse, Home Health
Provider Information
- NPI Number
1881487841- Provider Type
- Individual Provider (NPI-1)
- Credentials
- BSN
- Status
- Active
Contact & Location
- Address
- 10106 STRONECREST TRL, STONECREST, GA, 30038
- Phone
- (706) 877-4979
Specialties & Taxonomies
Registered Nurse, Medical-Surgical
License: GA #RN300323
Registered Nurse, Home Health
Primary License: GA #RN300323