Individual provider · Type 1 NPI

Jeanine M. Jackson, CNNP

Pediatric Nurse Practitioner · Gainesville, GA

NPI number 1568434231 Active

Practice location

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834

Fax (770) 535-7092

Mailing address

PO Box 658
Gainesville, GA 30503-0658

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner 363LN0000XRN060702 (GA)
Pediatric Nurse Practitioner Primary 363LP0200XRN060702 (GA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1568434231

Jeanine M. Jackson, CNNP's National Provider Identifier is 1568434231, issued on Feb 6, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Gainesville, GA. The record was last updated on Oct 25, 2018.