Individual provider · Type 1 NPI

Amelia Jackson

Administrator Registered Nurse · Fort Stewart, GA

NPI number 1801299201 Active

Practice location

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X740612 (TX)
Administrator Registered Nurse Primary 163WA2000X740612 (TX)
Case Management Registered Nurse 163WC0400X740612 (TX)
Pediatric Registered Nurse 163WP0200X740612 (TX)
Ambulatory Care Registered Nurse 163WP2201X740612 (TX)

Administrator Registered Nurse: Definition to come...

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About NPI 1801299201

Amelia Jackson's National Provider Identifier is 1801299201, issued on Sep 30, 2014. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Fort Stewart, GA. The record was last updated on Sep 30, 2014.