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LAVERNE L. JACKSON RN,ICADC
NPI 1295897189
Registered Nurse - Community Health in Conyers, GA

Active since December 15, 2006
977A TAYLOR ST SW, CONYERS, GA 30012(770) 918-6677 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laverne L. Jackson Rn,icadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAVERNE L. JACKSON RN,ICADC (NPI 1295897189) is an individual community health provider in Conyers, Georgia, licensed in Georgia (RN158642) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1295897189
Entity TypeIndividualFemale
Primary Taxonomy163WC1500X
Provider Legal NameLAVERNE L. JACKSONCredential: RN,ICADC
Location Address977A TAYLOR ST SWConyers, GA 30012-5357
Mailing Address1894 Delphine DrDecatur, GA 30032-3927
Phone(770) 918-6677
Sole ProprietorNo
Enumeration DateDecember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295897189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License✔ Licensed in GA · RN158642
977A TAYLOR ST SW, Conyers, GA 30012
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. RUTHIE LEE CULVER-REED
Social Worker (Clinical)
977A TAYLOR ST SW
CONYERS, GA 30012
Rockdale County (770) 918-6677
ANNIE L. HARPER LMSW
Social Worker
977A TAYLOR ST SW
CONYERS, GA 30012
Rockdale County (770) 918-6677
MRS. WAJIHA F. SYED M.D
Psychiatry & Neurology (Psychiatry)
977A TAYLOR ST SW
CONYERS, GA 30012
Rockdale County (770) 918-6677
GINA KEMP HUTTO LPC, MAC
Counselor (Professional)
977A TAYLOR ST SW
CONYERS, GA 30012
Rockdale County (770) 918-6677
MR. JOSEPH WILLIAM WITHERSPOON JR. LMSW
Social Worker
977A TAYLOR ST SW
CONYERS, GA 30012
Rockdale County (770) 918-6677
MRS. GAIL MOORE MFT
Marriage & Family Therapist
977A TAYLOR ST SW
CONYERS, GA 30012
Rockdale County (770) 918-6677
MRS. RANI KATRINA CLARK
Counselor (Mental Health)
977A TAYLOR ST SW
CONYERS, GA 30012
Rockdale County (678) 209-2677
MS. PATRICIA WHATLEY SHOWELLL LCSW
Social Worker (Clinical)
977A TAYLOR ST SW
CONYERS, GA 30012
Rockdale County (770) 918-6677

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laverne Jackson's NPI number?

The NPI number for Laverne Jackson is 1295897189. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Laverne Jackson located?

Laverne Jackson practices at 977A Taylor St SW, Conyers, GA 30012. The listed phone number is (770) 918-6677.

What is Laverne Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

When was this NPI record last updated?

The NPPES record for Laverne Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.