Individual provider · Type 1 NPI
Chanda Waller Jackson, NP
Nurse Practitioner · Atlanta, GA
Practice location
95 Collier Rd NW Ste 5015
Atlanta, GA 30309-1721
Mailing address
550 Peachtree Street, Davis Fisher Building, Office 3245A
Atlanta, GA 30308
Other practice locations
- 550 Peachtree Street, Davis Fischer Bldg, Office 3245A, Atlanta, GA 30308 · (404) 686-7858
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN213894 (GA) |
| Interventional Cardiology Physician | 207RI0011X | RN213894 (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 1245742329
Chanda Waller Jackson, NP's National Provider Identifier is 1245742329, issued on Oct 30, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Atlanta, GA. The record was last updated on Jun 15, 2023.