Individual provider · Type 1 NPI

Hazel Anita Jackson, MN, RN, APRN, BC

Medical-Surgical Registered Nurse · Decatur, GA

NPI number 1770510802 Active

Practice location

1670 Clairmont Rd
Decatur, GA 30033-4004

Fax (404) 327-4972

Mailing address

1429 Oak Knoll Dr NE
Conyers, GA 30012-4751

Specialties and licenses

TaxonomyCodeLicense
Medical-Surgical Registered Nurse Primary 163WM0705XR084397 (GA)

Medical-Surgical Registered Nurse: Definition to come...

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About NPI 1770510802

Hazel Anita Jackson, MN, RN, APRN, BC's National Provider Identifier is 1770510802, issued on Jun 26, 2006. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Decatur, GA. The record was last updated on Jul 8, 2007.