Individual provider · Type 1 NPI

David Ray Jackson, NP

Family Nurse Practitioner · Valdosta, GA

NPI number 1215079983 Active

Practice location

2301 N Ashley St
Valdosta, GA 31602-2620

Fax (229) 468-0688

Mailing address

204 E 4th St
Ocilla, GA 31774-1539

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN154383 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1215079983

David Ray Jackson, NP's National Provider Identifier is 1215079983, issued on Feb 12, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Valdosta, GA. The record was last updated on Jul 25, 2025.