IndividualActive
Alice Jackson
NPI 1366090813 · Attendant Care Provider · Moreland, GA
Provider details
- NPI number
- 1366090813
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
1389 Gordon Rd
Moreland, GA 30259-2541
Registry dates
- Enumerated
- 2019-08-28
- Last updated
- 2019-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.