Jackson, Vicki

Jackson, Vicki is an sole proprietor health care provider with primary practice located at 200 Grover Turner Way , Mcdonough GA 30253-5976. She recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Pastoral is her primary health care specialty. Jackson, Vicki can be contacted via phone (678) 371-6470.

Contact Information

Primary practice address
200 Grover Turner Way Mcdonough GA 30253-5976
Phone: (678) 371-6470
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X

Profile Details

NPI number 1477187573
LBN Legal business name Jackson, Vicki
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2020
Last updated Feb 27th, 2020 - about 6 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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