Individual provider · NPI-1
Velletta Ann Jackson, RN, MSN, CRRN
Registered Nurse, Community Health · Albany, GA
NPI number1932525581
StatusActive
Last updated in NPPESMar 6, 2014
Details
- NPI
- 1932525581
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Velletta Ann Jackson
- Credential
- RN, MSN, CRRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2014
- Last updated
- Mar 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC1500X | Registered Nurse, Community Health | 108011 | GA | Yes |
| 133NN1002X | Nutritionist, Nutrition, Education | 108011 | GA | |
| 163W00000X | Registered Nurse | 108011 | GA | |
| 163WA0400X | Registered Nurse, Addiction (Substance Use Disorder) | 108011 | GA | |
| 163WA2000X | Registered Nurse, Administrator | 108011 | GA | |
| 163WC0400X | Registered Nurse, Case Management | 108011 | GA | |
| 163WC1600X | Registered Nurse, Continuing Education/Staff Development | 108011 | GA | |
| 163WD0400X | Registered Nurse, Diabetes Educator | 108011 | GA | |
| 163WH0200X | Registered Nurse, Home Health | 108011 | GA | |
| 163WN1003X | Registered Nurse, Nutrition Support | 108011 | GA | |
| 163WP0000X | Registered Nurse, Pain Management | 108011 | GA | |
| 163WP0807X | Registered Nurse, Psych/Mental Health, Child & Adolescent | 108011 | GA | |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 108011 | GA | |
| 163WR0400X | Registered Nurse, Rehabilitation | 108011 | GA | |
| 376G00000X | Nursing Home Administrator | 108011 | GA |
Other names
- Velletta Ann Jackson-Love (Former Name)
Practice location
611 Pine AveAlbany, GA 31701-2403
Phone 229-288-3879
Mailing address
2303 E Alberson DrAlbany, GA 31721-2045
Phone 229-288-3879
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