Individual provider · Type 1 NPI

Ancelle Mae Jackson, APRN

Family Nurse Practitioner · Bonaire, GA

NPI number 1477027373 Active

Practice location

774 Highway 96
Bonaire, GA 31005-3300

Mailing address

1428 Ridge Brook Trl
Duluth, GA 30096-6810

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X11000926 (FL)
Family Nurse Practitioner Primary 363LF0000XRN300851 (GA)

Family Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1477027373

Ancelle Mae Jackson, APRN's National Provider Identifier is 1477027373, issued on Jan 14, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bonaire, GA. The record was last updated on Oct 13, 2025.