Individual provider · Type 1 NPI
Kalita Higginbotham Jackson, FNP-C
Family Nurse Practitioner · Lawrenceville, GA
NPI number
1679847057
Active
Practice location
500 Medical Center Blvd Ste 310
Lawrenceville, GA 30046-3332
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN191958 (GA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1679847057
Kalita Higginbotham Jackson, FNP-C's National Provider Identifier is 1679847057, issued on Mar 1, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lawrenceville, GA. The record was last updated on Feb 8, 2020.