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Contact Information

PATRICE M JACKSON WEATHERS, CNA
4266 LINDSEY DR
DECATUR, GA30035-1927
 Phone: 470-965-3741
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse's Aide

376K00000X
 

Nursing Home Administrator

376G00000X
Indicates primary specialty

NPI Profile & details for PATRICE M JACKSON WEATHERS · (Female)

NPI # 1407236045
Status Active
Credentials CNA
Entity Individual
Enumeration date 06/08/2015
Last updated 02/10/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • GA License # CN0014212008
  • SC License # 560249
  • WI License # 344541
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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