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Mrs. Amanda Holloman Jackson, FNP-C
Family Nurse Practitioner in Atlanta, Georgia
NPI 1689958837

Amanda Holloman Jackson is a Family Nurse Practitioner based in Atlanta, GA and is specialized in Family. Amanda Holloman Jackson practices in Atlanta, GA and has the professional credentials of FNP-C. The NPI Number for Amanda Holloman Jackson is 1689958837 and holds a License No. RN097491 (Georgia).

The current practice location address for Amanda Holloman Jackson is 550 Peachtree St Ne Ste 1275, Atlanta, GA and can be reached out via phone at 404-872-3121 and via fax at 404-872-3119.

Location: 550 Peachtree St Ne Ste 1275, Atlanta, GA, 30308-2240
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Provider Profile Details
NPI Number
1689958837
Provider Name
Amanda Holloman Jackson
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
550 Peachtree St Ne Ste 1275, Atlanta, GA, 30308-2240
Phone Number
404-872-3121
Fax Number
404-872-3119
Provider Enumeration Date
10/06/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00311409A 05 GA
institution
Provider Business Practice Location Address Details
Address
550 Peachtree St Ne Ste 1275
City
State
Zip
30308-2240
Phone Number
404-872-3121
Fax Number
404-872-3119
person
Provider Business Mailing Address Details
Address
550 Peachtree St Ne Ste 1275
City
State
Zip
30308-2240
Phone Number
404-872-3121
Fax Number
404-872-3119
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN097491 (Georgia)
Definition
Definition to come...
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