Lenell Renee Jackson

Pharmacist · Stockbridge, GA

Individual Active NPI

NPI number 1548881261

Practice location

4467 N Henry Blvd
Stockbridge, GA 30281-3656
Phone
(770) 474-0704
Fax
(770) 507-4121

Open in Google Maps

NPI record

NPI
1548881261
Entity type
Individual (Type 1)
Enumeration date
May 5, 2020
Last updated
May 5, 2020
Certified
May 5, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X RPH015606 GA

Mailing address

6343 Pheasant Trl
Fairburn, GA 30213-4623
Phone
(404) 723-4472

About Lenell Jackson

Lenell Renee Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 4467 N Henry Blvd, Stockbridge, GA 30281-3656. The NPI number 1548881261 was assigned on May 5, 2020 and the record was last updated on May 5, 2020.

Lenell Jackson lists a license in the registry: #RPH015606 (GA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lenell Renee Jackson?

The NPI number is 1548881261.

What is the phone number of Lenell Jackson?

The phone number listed for the practice location is (770) 474-0704.

Where is Lenell Jackson located?

4467 N Henry Blvd, Stockbridge, GA 30281-3656.

What is the taxonomy code for Lenell Jackson?

The primary taxonomy code is 183500000X – Pharmacist.

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.

Other Pharmacist providers in Stockbridge

All Pharmacist providers in Stockbridge, GA →