Individual provider · Type 1 NPI

Antonina Gabrielle Jackson, NP

Nurse Practitioner · Atlanta, GA

NPI number 1760786156 Active

Practice location

1800 Howell Mill Rd NW, Suite 450
Atlanta, GA 30318-2538

Fax (404) 419-9852

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN140032 NP (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 1760786156

Antonina Gabrielle Jackson, NP's National Provider Identifier is 1760786156, issued on Dec 29, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Atlanta, GA. The record was last updated on Aug 16, 2012.