Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANCELLE MAE JACKSON, APRN
ActiveANCELLE MAE JACKSON, APRN is a Family Nurse Practitioner healthcare provider located in BONAIRE, Georgia. NPI 1477027373 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · BONAIRE, GA
Registration Details
- NPI Number
- 1477027373
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 14, 2019 (7.397207123966 yrs)
- Last Updated
- Oct 13, 2025
- Licenses
-
11000926 (FL)RN300851 (GA)
Practice Information
- Address
-
774 HIGHWAY 96BONAIRE, GA, 310053300Browse GA providers · Browse ZIP 31005
- Phone
- 4789885711
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in BONAIRE, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. SHEILA WILMORE HATCHER | FNP-C | 1740259159 |
| DONA MICHELLE TUTEN II | NP | 1386674612 |
| SALLY LEE ARNOLD | APRN | 1437580255 |
| STACEY FAVRE RENNER | APRN | 1043633985 |
| MRS. MICHELLE MARIE ALLEN | ARNP-C | 1699199018 |
| CHRISTY ANN GONZALEZ | NP | 1306293592 |
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.