Individual provider · Type 1 NPI

Nichelle Jackson, MSN, NP-BC

Nurse Practitioner · Atlanta, GA

NPI number 1972154722 Active

Practice location

49 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3049

Call (404) 251-8921 Map

Mailing address

1052 Ashton Park Dr
Lawrenceville, GA 30045-7277

Other practice locations

  • 49 Jesse Hill Jr Drive, Atlanta, GA 30303-3049
  • 49 Jesse Hill Jr Dr SE, Atlanta, GA 30303-3049
  • 49 Jesse Hill Jr Drive, Atlanta, GA 30303-3049
  • 49 Jesse Hill Jr Dr SE, Atlanta, GA 30303-3049
  • 80 Jesse Hill Jr Dr SE, Atlanta, GA 30303-3031
  • 80 Jesse Hill Jr Dr SE, Atlanta, GA 30303-3031
  • 80 Jesse Hill Jr Dr SE, Atlanta, GA 30303-3031

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP180557 (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 1972154722

Nichelle Jackson, MSN, NP-BC's National Provider Identifier is 1972154722, issued on Sep 24, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Atlanta, GA. The record was last updated on Mar 16, 2026.