Individual provider · Type 1 NPI
Ieacha Shahara Jackson, APRN
Family Nurse Practitioner · Richland, GA
NPI number
1891524799
Active
Practice location
66 Church St
Richland, GA 31825-6210
Mailing address
PO Box 291
Richland, GA 31825-0291
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F07241421 (GA) |
Family Nurse Practitioner: Definition to come...
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- Joanne B. HembreeFamily Nurse Practitioner Richland, GA NPI 1588243927
- Kinsey Brooke Stovall, NPFamily Nurse Practitioner Richland, GA NPI 1669234506
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About NPI 1891524799
Ieacha Shahara Jackson, APRN's National Provider Identifier is 1891524799, issued on Jul 29, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Richland, GA. The record was last updated on Jul 29, 2024.