Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE STANLEY JACKSON, NP-C
ActiveNICOLE STANLEY JACKSON, NP-C is a Family Nurse Practitioner healthcare provider located in TENNILLE, Georgia. NPI 1659787034 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · TENNILLE, GA
Registration Details
- NPI Number
- 1659787034
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 7, 2014 (12.086632175968 yrs)
- Last Updated
- Oct 24, 2023
- License
-
RN143548 (GA)
Practice Information
- Address
-
116 SMITH STTENNILLE, GA, 310891465Browse GA providers · Browse ZIP 31089
- Phone
- 4785521620
- Fax
- 4788641288
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
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.