Amelia Jackson Valid NPI

Individual provider · Administrator Registered Nurse · Fort Stewart, GA

NPI

1801299201

Type

Individual (Type 1)

Primary specialty

Administrator Registered Nurse (Registered Nurse)

Specialty group

Nursing Service Providers

Taxonomy code

163WA2000X

License number

740612 (TX)

Sex

Female

Sole proprietor

No

Enumerated

2014-09-30

Last updated

2014-09-30