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Mrs. Sophia Evette Jackson, NP
Family Nurse Practitioner in Buford, Georgia
NPI 1093879769

Sophia Evette Jackson is a Family Nurse Practitioner based in Buford, GA and is specialized in Family. Sophia Evette Jackson practices in Buford, GA and has the professional credentials of NP. The NPI Number for Sophia Evette Jackson is 1093879769 and holds a License No. RN117221 (Georgia).

The current practice location address for Sophia Evette Jackson is 1950 Buford Hwy, Buford, GA and can be reached out via phone at 770-945-7286.

Location: 1950 Buford Hwy, Buford, GA, 30518-9008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093879769
Provider Name
Sophia Evette Jackson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1950 Buford Hwy, Buford, GA, 30518-9008
Phone Number
770-945-7286
Fax Number
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00792426C 05 GA
institution
Provider Business Practice Location Address Details
Address
1950 Buford Hwy
City
Buford
State
Georgia
Zip
30518-3673
Phone Number
770-945-7286
Fax Number
person
Provider Business Mailing Address Details
Address
1950 Buford Hwy
City
Buford
State
Georgia
Zip
30518-3673
Phone Number
770-945-7286
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN117221 (Georgia)
Definition
Definition to come...
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