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Ms. Alexandria Nichelle Jackson, AGNP
Nurse Practitioner in Fairburn, Georgia
NPI 1699277590

Alexandria Nichelle Jackson is a Nurse Practitioner based in Fairburn, GA. Alexandria Nichelle Jackson practices in Fairburn, GA and has the professional credentials of AGNP. The NPI Number for Alexandria Nichelle Jackson is 1699277590 and holds a License No. RN249768 (Georgia).

The current practice location address for Alexandria Nichelle Jackson is 497 Greyhawk Way, Fairburn, GA and can be reached out via phone at 229-291-4436.

Location: 497 Greyhawk Way, Fairburn, GA, 30213-4612
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699277590
Provider Name
Alexandria Nichelle Jackson
Credential
AGNP
Provider Entity Type
Individual
Gender
Female
Address
497 Greyhawk Way, Fairburn, GA, 30213-4612
Phone Number
229-291-4436
Fax Number
Provider Enumeration Date
03/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
497 Greyhawk Way
City
Fairburn
State
Georgia
Zip
30213-4612
Phone Number
229-291-4436
Fax Number
person
Provider Business Mailing Address Details
Address
497 Greyhawk Way
City
Fairburn
State
Georgia
Zip
30213-4612
Phone Number
229-291-4436
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN249768 (Georgia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
RN249768 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
RN249768 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
RN249768 (Georgia)
Definition
Definition to come...
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