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Holly M Jackson, NP
Family Nurse Practitioner in Carrollton, Georgia
NPI 1427576511

Holly M Jackson is a Family Nurse Practitioner based in Carrollton, GA and is specialized in Family. Holly M Jackson practices in Carrollton, GA and has the professional credentials of NP. The NPI Number for Holly M Jackson is 1427576511 and holds a License No. RN216051 (Georgia).

The current practice location address for Holly M Jackson is 905 Dixie St, Carrollton, GA and can be reached out via phone at 770-812-5831.

Location: 905 Dixie St, Carrollton, GA, 30117-3857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427576511
Provider Name
Holly M Jackson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
905 Dixie St, Carrollton, GA, 30117-3857
Phone Number
770-812-5831
Fax Number
Provider Enumeration Date
09/08/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
905 Dixie St
City
Carrollton
State
Georgia
Zip
30117-4417
Phone Number
770-812-5831
Fax Number
person
Provider Business Mailing Address Details
Address
905 Dixie St
City
Carrollton
State
Georgia
Zip
30117-4417
Phone Number
770-812-5831
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN216051 (Georgia)
Definition
Definition to come...
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