Individual provider · Type 1 NPI
Missy Leigh Jackson
Women's Health Nurse Practitioner · Greensboro, GA
NPI number
1396183752
Active
Practice location
803 S Main St
Greensboro, GA 30642-1211
Fax (706) 999-3221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | RN139599 (GA) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1396183752
Missy Leigh Jackson's National Provider Identifier is 1396183752, issued on Jun 7, 2013. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Greensboro, GA. The record was last updated on Jun 7, 2013.