person
Nicole Stanley Jackson, NP-C
Family Nurse Practitioner in Tennille, Georgia
NPI 1659787034

Nicole Stanley Jackson is a Family Nurse Practitioner based in Wrightsville, GA and is specialized in Family. Nicole Stanley Jackson practices in Tennille, GA and has the professional credentials of NP-C. The NPI Number for Nicole Stanley Jackson is 1659787034 and holds a License No. RN143548 (Georgia).

The current practice location address for Nicole Stanley Jackson is 116 Smith St, Tennille, GA and can be reached out via phone at 478-552-1620 and via fax at 478-864-1288.

Location: 116 Smith St, Tennille, GA, 31096-0371
person
Provider Profile Details
NPI Number
1659787034
Provider Name
Nicole Stanley Jackson
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
116 Smith St, Tennille, GA, 31096-0371
Phone Number
478-552-1620
Fax Number
478-864-1288
Provider Enumeration Date
07/07/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F0414179 01 GA AMERICAN ACADEMY OF NURSE PRACTITIONERS
RN143548 01 GA GEORGIA SECRETARY OF STATE
institution
Provider Business Practice Location Address Details
Address
116 Smith St
City
State
Zip
31089-1465
Phone Number
478-552-1620
Fax Number
478-864-1288
person
Provider Business Mailing Address Details
Address
116 Smith St
City
State
Zip
31089-1465
Phone Number
478-552-1620
Fax Number
478-864-1288
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN143548 (Georgia)
Definition
Definition to come...
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