Lakeisha Jackson

Speech-Language Pathologist · Woodstock, GA

Individual Active NPI

NPI number 1962874099

Practice location

225 Creekstone RDG Ste 25
Woodstock, GA 30188-3744
Phone
(404) 939-5976

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NPI record

NPI
1962874099
Entity type
Individual (Type 1)
Enumeration date
October 28, 2015
Last updated
October 24, 2023
Certified
October 24, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X SLP006166 GA

Mailing address

744 Noah Dr Ste 113-374
Jasper, GA 30143-8705
Phone
(404) 939-5976
Fax
(404) 920-3496

About Lakeisha Jackson

Lakeisha Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 225 Creekstone RDG Ste 25, Woodstock, GA 30188-3744. The NPI number 1962874099 was assigned on October 28, 2015 and the record was last updated on October 24, 2023.

Lakeisha Jackson lists a license in the registry: #SLP006166 (GA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lakeisha Jackson?

The NPI number is 1962874099.

What is the phone number of Lakeisha Jackson?

The phone number listed for the practice location is (404) 939-5976.

Where is Lakeisha Jackson located?

225 Creekstone RDG Ste 25, Woodstock, GA 30188-3744.

What is the taxonomy code for Lakeisha Jackson?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

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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