Jackson, Carmen Yolanda

Jackson, Carmen Yolanda is an individual health care provider with primary practice located at 1900 Tebeau St , Waycross GA 31501-6357. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson, Carmen Yolanda can be contacted via phone (912) 287-2555.

Contact Information

Primary practice address
1900 Tebeau St Waycross GA 31501-6357
Phone: (912) 287-2555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN149316 Georgia

Profile Details

NPI number 1306368329
LBN Legal business name Jackson, Carmen Yolanda
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2017
Last updated Jul 21st, 2022 - about 4 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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