Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIBIBI A JACKSON, FNP-BC
Active Sole ProprietorKIBIBI A JACKSON, FNP-BC is a Family Nurse Practitioner healthcare provider located in RIVERDALE, Georgia. NPI 1831790526 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · RIVERDALE, GA
Registration Details
- NPI Number
- 1831790526
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 8, 2020 (5.7472518467577 yrs)
- Last Updated
- Feb 18, 2026
- Licenses
-
RN265070 (GA)RN265070 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
483 UPPER RIVERDALE RD SWRIVERDALE, GA, 302742584Browse GA providers · Browse ZIP 30274
- Phone
- 7709969400
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Medicine
Other Family Nurse Practitioner Providers in RIVERDALE, GA
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID N ISAAC | FNP-C | 1093765067 |
| MRS. SARAH ELIZABETH ROSARIO | FNP-C | 1316988645 |
| DIANNA LYNN WHITE | FNP | 1578584256 |
| MRS. MAMRON HYNDMAN WARNER | APRN | 1629182928 |
| MR. MARK EDWARD COUCH | FNP-C | 1770641953 |
| MRS. JACQUELYN HAIRSTON MARTIN | C-FNP | 1659434876 |
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.