Individual provider · Type 1 NPI
Elijah Jackson
Family Nurse Practitioner · Atlanta, GA
NPI number
1467915033
Active
Practice location
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 225373 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1467915033
Elijah Jackson's National Provider Identifier is 1467915033, issued on Apr 10, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Atlanta, GA. The record was last updated on Apr 10, 2019.