Que'ana Lache Morris Jackson

NPI 1972856805 - Community Health Worker - 172V00000X

NPI Details
NPI 1972856805
Gender Female
Enumeration Date 10/16/2012
Last Updated 10/16/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
CONLEY GA, 30288-1933, US
Phone (404) 789-4079
Business Location
PO BOX 16294
ATLANTA GA, 30321-0294, US
Phone (404) 789-4079
Taxonomy Code 172V00000X
License State
License Number
Remove 1972856805 NPI Number

According to our database, Mrs. Que'ana Lache Morris Jackson NPI is 1972856805, taxonomy code is 172V00000X Que'ana Lache Morris Jackson physically located at 4339b Greenwillow Way, Conley GA, 30288-1933. NPI Number Que'ana Lache Morris Jackson has the Individual type.

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1972856805 NPI number is provided on an as is basis without warranty of any kind. 1972856805 is maintained by the National Plan & Provider Enumeration System. The contents of Que'ana Lache Morris Jackson are for informational purposes only.