NPI 1689269243
Kim Jackson
Practice location
- Address
- 1264 Newmantown Rd, Grovetown, GA 30813-3610
- Phone
- (706) 833-6879
Registered specialties
Attendant Care Provider
Primary
Registry record
- NPI
- 1689269243
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Mar 2021
- Record last updated
- 5 Mar 2021
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.