Individual provider · Type 1 NPI

Jackson Bryant Cook

Family Nurse Practitioner · Carrollton, GA

NPI number 1164304580 Active

Practice location

706 Dixie St Ste 220
Carrollton, GA 30117-3889

Fax (770) 838-8650

Mailing address

5725 Brenda Dr SW
Mableton, GA 30126-3121

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN-NP316440 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1164304580

Jackson Bryant Cook's National Provider Identifier is 1164304580, issued on Jul 24, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Carrollton, GA. The record was last updated on Oct 10, 2025.