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

Keriana Edwina Jackson

Individual provider Durable Medical Equipment & Medical Supplies · NPI 1790529329

Keriana Edwina Jackson is a Durable Medical Equipment & Medical Supplies in Loganville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1331 Rose Terrace Cir
Loganville, GA 30052-9046
Phone: (678) 622-6687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Educator (primary) Taxonomy 174H00000X (GA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1790529329
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 19, 2024
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024
Mailing address1331 Rose Terrace Cir, Loganville, GA 30052-9046

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