NPI 1992926000
Craig Lebern Jackson, RN
Practice location
- Address
- 4297 Wyndam Hill Dr, Suwanee, GA 30024-6525
- Phone
- (404) 294-0499
Registered specialties
Religious Nonmedical Nursing Personnel
Primary
Registry record
- NPI
- 1992926000
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 May 2007
- Record last updated
- 8 Jul 2007
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.