Individual provider · Type 1 NPI

Amanda Holloman Jackson, FNP-C

Family Nurse Practitioner · Atlanta, GA

NPI number 1689958837 Active

Practice location

550 Peachtree St NE Ste 1275
Atlanta, GA 30308-2240

Fax (404) 872-3119

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN097491 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1689958837

Amanda Holloman Jackson, FNP-C's National Provider Identifier is 1689958837, issued on Oct 6, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Atlanta, GA. The record was last updated on Nov 18, 2011.