Search › Georgia › 363LF0000X
Michelle Jackson, APRN
NPI 1649645730 · on the registry since 2015
Practice
- Address
- 4593 Lawrenceville Road
Loganville, GA 30052 - Phone
- (770) 466-8672
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LA2200X
363LG0600X - Licence states on file
- FL, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-25
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