Search › Georgia › 363LF0000X
Nicole Jackson, NP-C
NPI 1659787034 · on the registry since 2014
Practice
- Address
- 116 Smith St
Tennille, GA 31089 - Phone
- (478) 552-1620
- Fax
- (478) 864-1288
- Organisation at this address
- Community Health Care Systems, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-24
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