Dr. Kristy Hendricks Jackson, M.D.
Psychiatry & Neurology, Psychiatry in Marietta, GA. Individual provider (NPI-1).
NPI number1043484645
StatusActive
Last updated in NPPESOct 15, 2019
Details
- NPI
- 1043484645
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kristy Hendricks Jackson
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2008
- Last updated
- Oct 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 060643 | GA | Yes |
Practice location
2540 Windy Hill Rd SeMarietta, GA 30067-8605
Phone 770-644-1570
Mailing address
475 Fairburn Rd SwAtlanta, GA 30331-1907
Phone 404-691-9627
Other practice locations
475 Fairburn Rd Sw
Atlanta, GA 30331-1907
Atlanta, GA 30331-1907
Phone 404-691-9627
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