Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEISHA PERRY JACKSON, PMHNP
Active Sole ProprietorKEISHA PERRY JACKSON, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in KINGS BAY, Georgia. NPI 1972336923 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · KINGS BAY, GA
Registration Details
- NPI Number
- 1972336923
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 24, 2024 (1.9866134140664 yrs)
- Last Updated
- Jan 8, 2026
- License
-
906900 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
988 USS JAMES MADISON RDBUILDING 1028KINGS BAY, GA, 31547Browse GA providers · Browse ZIP 31547
- Phone
- 9125736578
- Fax
- 9125732597
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
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.