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Mr. David Ray Jackson, NP
Family Nurse Practitioner in Quitman, Georgia
NPI 1215079983

David Ray Jackson is a Family Nurse Practitioner based in Quitman, GA and is specialized in Family. David Ray Jackson practices in Quitman, GA and has the professional credentials of NP. The NPI Number for David Ray Jackson is 1215079983 and holds a License No. RN154383 (Georgia).

The current practice location address for David Ray Jackson is 606 W Screven St, Quitman, GA and can be reached out via phone at 229-263-8888 and via fax at 229-263-8888.

Location: 606 W Screven St, Quitman, GA, 31643-0845
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215079983
Provider Name
David Ray Jackson
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
606 W Screven St, Quitman, GA, 31643-0845
Phone Number
229-263-8888
Fax Number
229-263-8888
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
52875375 01 GA BCBS
000921137C 05 GA
institution
Provider Business Practice Location Address Details
Address
606 W Screven St
City
Quitman
State
Georgia
Zip
31643-1922
Phone Number
229-263-8888
Fax Number
229-263-8888
person
Provider Business Mailing Address Details
Address
606 W Screven St
City
Quitman
State
Georgia
Zip
31643-1922
Phone Number
229-263-8888
Fax Number
229-263-8888
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN154383 (Georgia)
Definition
Definition to come...
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