Denise Jackson
Denise Jackson is a Prosthetist in Johns Creek, Georgia. Practices as a sole proprietor. Licensed in Georgia and Indiana.
- Licensed in
- GA, IN
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
11720 Medlock Bridge Rd Ste 155Johns Creek, GA 30097
Phone: (574) 320-3549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetist (primary) | Taxonomy 224P00000X · Licence CO124581 (GA) |
|---|---|
| Prosthetist | Taxonomy 224P00000X · Licence BC29700281 (IN) |
Record details
| NPI number | 1306330303 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 21, 2018 |
| Last updated in NPPES | June 27, 2018 |
| Mailing address | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097-1513 |
Other providers in Johns Creek
-
Nailah Asha Copeland
11132 Medlock Bridge Rd, Johns Creek, GA 30097-1532 · (470) 406-6975