Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Itelya Jackson, RN

Individual provider In Home Supportive Care Agency · NPI 1811352412

Itelya Jackson, RN is an In Home Supportive Care Agency in Winston, Georgia. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

6957 Pine Shadow Way
Winston, GA 30187-2150
Phone: (678) 540-4446
Fax: (678) 540-4426
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X

Record details

NPI number1811352412
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedDecember 23, 2015
Last updated in NPPESDecember 23, 2015
Mailing address8491 Hospital Dr # 135, Douglasville, GA 30134-2412

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