Individual provider · Type 1 NPI
Evelyn Jackson, LCSW
Military Health Care Provider · Columbus, GA
NPI number
1275625568
Active
Practice location
209 Miller Loop, Fort Benning
Columbus, GA 31905-6560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | LCSW (LA) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Other military health care provider providers in Columbus
About NPI 1275625568
Evelyn Jackson, LCSW's National Provider Identifier is 1275625568, issued on Sep 28, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Columbus, GA. The record was last updated on Jul 8, 2007.