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Alisa Mccall Jackson, FNP-C
Family Nurse Practitioner in Marietta, Georgia
NPI 1255946133

Alisa Mccall Jackson is a Family Nurse Practitioner based in Marietta, GA and is specialized in Family. Alisa Mccall Jackson practices in Marietta, GA and has the professional credentials of FNP-C. The NPI Number for Alisa Mccall Jackson is 1255946133 and holds a License No. F08200861 (Georgia).

The current practice location address for Alisa Mccall Jackson is 3905 Due West Rd Nw, Marietta, GA and can be reached out via phone at 678-290-5740.

Location: 3905 Due West Rd Nw, Marietta, GA, 30064-1019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255946133
Provider Name
Alisa Mccall Jackson
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
3905 Due West Rd Nw, Marietta, GA, 30064-1019
Phone Number
678-290-5740
Fax Number
Provider Enumeration Date
09/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3905 Due West Rd Nw
City
Marietta
State
Georgia
Zip
30064-1019
Phone Number
678-290-5740
Fax Number
person
Provider Business Mailing Address Details
Address
3905 Due West Rd Nw
City
Marietta
State
Georgia
Zip
30064-1019
Phone Number
678-290-5740
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F08200861 (Georgia)
Definition
Definition to come...
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