Individual provider · Type 1 NPI
Sydney Jackson, FNP-C
Family Nurse Practitioner · Moultrie, GA
NPI number
1184089088
Active
Practice location
143 US Highway 319 S Ste 12
Moultrie, GA 31768-7991
Fax (229) 321-7951
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN223614 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1184089088
Sydney Jackson, FNP-C's National Provider Identifier is 1184089088, issued on Dec 18, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Moultrie, GA. The record was last updated on Nov 2, 2026.