Rebecca Suzanne Jackson CNM

NPI 1679516173 - Advanced Practice Midwife - 367A00000X

NPI Details
NPI 1679516173
Gender Female
Enumeration Date 06/13/2006
Last Updated 05/01/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
GAINESVILLE GA, 30501-3834, US
Phone (770) 297-2200
Fax (770) 534-8139
Business Location
PO BOX 658
GAINESVILLE GA, 30503-0658, US
Phone (770) 718-1122
Fax (770) 534-8998
Taxonomy Code 367A00000X
License State Georgia
License Number RN136000
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According to our database, Rebecca Suzanne Jackson CNM NPI is 1679516173, taxonomy code is 367A00000X and license number is RN136000, license state is located at Georgia. Rebecca Suzanne Jackson CNM physically located at 725 Jesse Jewell Pkwy Se, Gainesville GA, 30501-3834. NPI Number Rebecca Suzanne Jackson CNM has the Individual type.

1679516173 NPI number is provided on an as is basis without warranty of any kind. 1679516173 is maintained by the National Plan & Provider Enumeration System. The contents of Rebecca Suzanne Jackson CNM are for informational purposes only.