Individual provider · Type 1 NPI

Nancy Jackson, RN PNP

Nurse Practitioner · Augusta, GA

NPI number 1487615191 Active

Practice location

1115 Garredd Blvd
Augusta, GA 30909

Fax (706) 863-8523

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR110128 (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 1487615191

Nancy Jackson, RN PNP's National Provider Identifier is 1487615191, issued on Mar 31, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Augusta, GA. The record was last updated on Jul 13, 2026.