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Mrs. Carroll Davis Jackson, APRN
Family Nurse Practitioner in Adel, Georgia
NPI 1982111704

Carroll Davis Jackson is a Family Nurse Practitioner based in Tifton, GA and is specialized in Family. Carroll Davis Jackson practices in Adel, GA and has the professional credentials of APRN. The NPI Number for Carroll Davis Jackson is 1982111704 and holds a License No. RN167907 (Georgia).

The current practice location address for Carroll Davis Jackson is 172 Mj Taylor Rd, Adel, GA and can be reached out via phone at 229-896-8500.

Location: 172 Mj Taylor Rd, Adel, GA, 31794-3684
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982111704
Provider Name
Carroll Davis Jackson
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
172 Mj Taylor Rd, Adel, GA, 31794-3684
Phone Number
229-896-8500
Fax Number
Provider Enumeration Date
01/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
172 Mj Taylor Rd
City
Adel
State
Georgia
Zip
31620-3497
Phone Number
229-896-8500
Fax Number
person
Provider Business Mailing Address Details
Address
172 Mj Taylor Rd
City
Adel
State
Georgia
Zip
31620-3497
Phone Number
229-896-8500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN167907 (Georgia)
Definition
Definition to come...
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