NPI 1538708268
Tatia Patrice Jackson, PHD
Practice location
- Address
- 3448 Pinehill Dr, Decatur, GA 30032-3031
- Phone
- (414) 732-8636
Registered specialties (4)
Chore Provider
Primary
Adult Companion
Home Health Aide
Homemaker
Registry record
- NPI
- 1538708268
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Dec 2019
- Record last updated
- 28 Dec 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.