Search › Georgia › 363LF0000X
Ancelle Mae Jackson, APRN
NPI 1477027373 · on the registry since 2019
Practice
- Address
- 774 Highway 96
Bonaire, GA 31005 - Phone
- (478) 988-5711
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363L00000X
- Licence states on file
- FL, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia