TISHARIE NEEDHAM-JACKSON, NP

Nurse Practitioner

Active Individual
NPI: 1780253229

Practice Address

1412 MILSTEAD AVE NE
Conyers, GA 30012

Phone: (404) 605-2800

Specialties

Specialty Code Primary License
Registered Nurse - Emergency 163WE0003X No RN234785 (GA)
Nurse Practitioner 363L00000X Yes RN234785 (GA)

Frequently Asked Questions

NPI 1780253229 is the National Provider Identifier for TISHARIE NEEDHAM-JACKSON, NP, a Nurse Practitioner provider located in Conyers, GA. This NPI was enumerated on June 19, 2021.
TISHARIE NEEDHAM-JACKSON, NP practices at 1412 MILSTEAD AVE NE, Conyers, GA 30012.

Quick Facts

NPI
1780253229
Type
Individual
Enumerated
Jun 19, 2021
Last Updated
Jun 22, 2022

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