Monique Lasean Jackson, MA

Case Manager/Care Coordinator · Buford, GA

Individual Active NPI

NPI number 1083973697

Practice location

2910 Buford Dr
Apt# 702
Buford, GA 30519-5109
Phone
(678) 523-1627
Fax
(678) 765-0300

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NPI record

NPI
1083973697
Entity type
Individual (Type 1)
Enumeration date
May 16, 2012
Last updated
May 16, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

About Monique Jackson

Monique Lasean Jackson, MA is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 2910 Buford Dr, Apt# 702, Buford, GA 30519-5109. The NPI number 1083973697 was assigned on May 16, 2012 and the record was last updated on May 16, 2012.

Frequently asked questions

What is the NPI number of Monique Lasean Jackson, MA?

The NPI number is 1083973697.

What is the phone number of Monique Jackson?

The phone number listed for the practice location is (678) 523-1627.

Where is Monique Jackson located?

2910 Buford Dr, Apt# 702, Buford, GA 30519-5109.

What is the taxonomy code for Monique Jackson?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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