Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TISHARIE NEEDHAM-JACKSON, NP
ActiveTISHARIE NEEDHAM-JACKSON, NP is a Nurse Practitioner healthcare provider located in CONYERS, Georgia. NPI 1780253229 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · CONYERS, GA
Registration Details
- NPI Number
- 1780253229
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2021 (5.156719673973 yrs)
- Last Updated
- Jun 22, 2022
- Licenses
-
RN234785 (GA)RN234785 (GA)
Practice Information
- Address
-
1412 MILSTEAD AVE NECONYERS, GA, 300123877Browse GA providers · Browse ZIP 30012
- Phone
- 4046052800
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in CONYERS, GA
| Name | Credential | NPI |
|---|---|---|
| RAJENDRA MAHARAJ | NP | 1235237611 |
| ANGELA L. BRIGHT | N.P. | 1700908688 |
| MEGAN M WANDURRAGA | N.P. | 1548569502 |
| JANA ALLEN FULLER | N.P. | 1588920524 |
| SHONTELL ROBBINS | NP-C | 1134477029 |
| MRS. TERRI TONISHA VAN DORN | NP (ACNP-BC) | 1124363577 |
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.