Individual provider · Type 1 NPI

Sophia Evette Jackson, NP

Family Nurse Practitioner · Buford, GA

NPI number 1093879769 Active

Practice location

1950 Buford Hwy, Cvs Caremark Minute Clinic
Buford, GA 30518-3673

Mailing address

4249 Brentwood Dr
Buford, GA 30518-9008

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN117221 (GA)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1093879769

Sophia Evette Jackson, NP's National Provider Identifier is 1093879769, issued on Dec 20, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Buford, GA. The record was last updated on Sep 16, 2013.