Individual provider · Type 1 NPI

Zackery Hackle

Nurse Practitioner · Augusta, GA

NPI number 1184544355 Active

Practice location

1120 15th St
Augusta, GA 30912-0004

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN-NP300617 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1184544355

Zackery Hackle's National Provider Identifier is 1184544355, issued on Jul 17, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Augusta, GA. The record was last updated on Jul 17, 2026.