Jackson, Kierra

Jackson, Kierra is an individual health care provider with primary practice located at 118 Baybridge Dr , Brunswick GA 31525-1817. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Patient Transport, which is considered as her primary health care specialty. Jackson, Kierra can be contacted via phone (912) 689-6970.

Contact Information

Primary practice address
118 Baybridge Dr Brunswick GA 31525-1817
Phone: (912) 689-6970
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Patient Transport 2279P4000X

Profile Details

NPI number 1609589480
LBN Legal business name Jackson, Kierra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2022
Last updated Dec 27th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609589480 NPPES
Georgia Other 053324374 ID

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