Search › Georgia › 104100000X
Nicole Jackson, DSW, LMSW
NPI 1952875999 · on the registry since 2019
Practice
- Address
- 1017 Fayetteville Rd Se
Atlanta, GA 30316 - Phone
- (678) 234-7239
- Clinicians at this address
- 82
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-12
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