Individual provider · Type 1 NPI

Tyna Carshella Jackson, BSN

Home Health Registered Nurse · Stonecrest, GA

NPI number 1881487841 Active

Practice location

10106 Stronecrest Trl
Stonecrest, GA 30038

Specialties and licenses

TaxonomyCodeLicense
Medical-Surgical Registered Nurse 163WM0705XRN300323 (GA)
Home Health Registered Nurse Primary 163WH0200XRN300323 (GA)

Home Health Registered Nurse: Definition to come...

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About NPI 1881487841

Tyna Carshella Jackson, BSN's National Provider Identifier is 1881487841, issued on May 23, 2025. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Stonecrest, GA. The record was last updated on May 23, 2025.