Individual provider · Type 1 NPI

Laverne L. Jackson, RN, ICADC

Community Health Registered Nurse · Conyers, GA

NPI number 1295897189 Active

About NPI 1295897189

Laverne L. Jackson, RN, ICADC's National Provider Identifier is 1295897189, issued on Dec 15, 2006. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Conyers, GA. The record was last updated on Jul 8, 2007.