MISS YOLANDA DENEEN JACKSON


Address: 1214 Whispering Pines Rd, Albany, GA 31707-3562
Phone: 2298898287

MISS YOLANDA DENEEN JACKSON (NPI# 1932311362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932311362
Entity Type Individual
Full Name MISS YOLANDA DENEEN JACKSON
Credential CAREPROVIDER
Practice Address 1214 Whispering Pines Rd
Albany
GA 31707-3562
Practice Telephone 2298898287
Mailing Telephone 2298898287
Enumeration Date 2007-05-06
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
GA Behavioral Health & Social Service Providers

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Office Location

Street Address 1214 WHISPERING PINES RD
City ALBANY
State GA
Zip Code 31707-3562

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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

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1780135244 George Olarewaju Psychologist 3676 Riverview Approach, Ellenwood, GA 30294-4255 2016-10-20
1730637059 Flora's Loving Hands Psychologist 4891 Eagles Ridge Loop, Lithonia, GA 30038 2016-09-15
1295156263 Angelice Morgan Psychologist 506 Manchester Expressway, Columbus, GA 31904 2013-12-18
1982025045 Amber Harrow Psychologist 506 Manchester Expy Ste A13and14, Columbus, GA 31904-6444 2013-12-17
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Competitor

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City ALBANY
Zip Code 31707

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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