Jackson Lawson, Neda Marie
Jackson Lawson, Neda Marie is an individual health care provider with primary practice located at 1101 Nortec Dr Se , Conyers GA 30013-5835. 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 Lawson, Neda Marie can be contacted via phone (770) 914-0116.Contact Information
Primary practice address
1101 Nortec Dr Se
Conyers GA 30013-5835
Phone: (770) 914-0116
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN194562 | Georgia |
Profile Details
| NPI number | 1740734490 |
|---|---|
| LBN Legal business name | Jackson Lawson, Neda Marie |
| Credentials | APRN, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2016 |
| Last updated | Dec 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740734490 | NPPES |
| Georgia | Other | 08191138 | AMERIGROUP |
| Georgia | MEDICAID | 003225270A | AMERIGROUP |
| Georgia | MEDICAID | 003225270B | AMERIGROUP |
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