Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CEDERIC PHILLAUDER JACKSON, RN MSN
ActiveMR. CEDERIC PHILLAUDER JACKSON, RN MSN is a Registered Nurse healthcare provider located in ATL, Georgia. NPI 1629140462 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · ATL, GA
Registration Details
- NPI Number
- 1629140462
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2006 (19.706404015027 yrs)
- Last Updated
- Jul 8, 2007
- License
-
RN066374 (GA)
Practice Information
- Address
-
99 JESSIE HILL JR DRIVEATL, GA, 30303Browse GA providers · Browse ZIP 30303
- Phone
- 4047301418
- Fax
- 4047301499
- Primary Specialty
-
Registered Nurse
163W00000X
Other Registered Nurse Providers in ATL, GA
| Name | Credential | NPI |
|---|---|---|
| AMY ANDERSON | — | 1144498031 |
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.