Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. STEPHANIE BRAZEAL JACKSON, NP
Active Sole ProprietorMRS. STEPHANIE BRAZEAL JACKSON, NP is a Family Nurse Practitioner healthcare provider located in LOCUST GROVE, Georgia. NPI 1255512984 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · LOCUST GROVE, GA
Registration Details
- NPI Number
- 1255512984
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 21, 2007 (18.68581527734 yrs)
- Last Updated
- Jul 29, 2015
- License
-
RN071218 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
711 TRESTLE RDLOCUST GROVE, GA, 302483465Browse GA providers · Browse ZIP 30248
- Phone
- 7709145934
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in LOCUST GROVE, GA
| Name | Credential | NPI |
|---|---|---|
| CARIDAD M MONTEILH | FNP-C | 1346333986 |
| MICHELLE DENISE BUSH | RN, MSN, CRNP-BC | 1154450484 |
| MRS. MODUPE OLUYEMISI SALAMI | FNP | 1619273133 |
| MR. GREGORY BERNADAS GUINOO | NP | 1891062188 |
| CAMILLE LUNDI | NP-C | 1649611104 |
| CHRISTINE WILLIAMS BREEDEN | NP-C | 1194271320 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.