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Nicolette Jackson
NPI 1508455189 · on the registry since 2021
Practice
- Address
- 1303 Lockhaven Cir Sw
Atlanta, GA 30311 - Phone
- (770) 912-8801
- Fax
- (770) 936-1937
Registry record
- Primary taxonomy
- Nurse's Aide
376K00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-18
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