Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIJAH JACKSON
Active Sole ProprietorELIJAH JACKSON is a Family Nurse Practitioner healthcare provider located in ATLANTA, Georgia. NPI 1467915033 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · ATLANTA, GA
Registration Details
- NPI Number
- 1467915033
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2019 (7.3336987312524 yrs)
- Last Updated
- Apr 10, 2019
- License
-
225373 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
80 JESSE HILL JR DR SEATLANTA, GA, 303033031Browse GA providers · Browse ZIP 30303
- Phone
- 4046161000
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in ATLANTA, GA
| Name | Credential | NPI |
|---|---|---|
| KENNETH EUGENE LYDA | FNP | 1043215999 |
| KATHERINE ABRAHAM EVANS | NP | 1467457556 |
| GLENDA LEE BRYANT | FNP | 1508861592 |
| MS. CARLOTA E PERROT | NP-C | 1366449035 |
| MRS. BETH S BOTNICK | NP | 1780676031 |
| TRACY ANDREA CARSTARPHEN | NP | 1043204969 |
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.