Individual provider · Type 1 NPI

Carroll Davis Jackson, APRN

Family Nurse Practitioner · Adel, GA

NPI number 1982111704 Active

Practice location

172 Mj Taylor Rd
Adel, GA 31620-3497

Mailing address

907 18th St E Ste 400
Tifton, GA 31794-3684

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP167907 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1982111704

Carroll Davis Jackson, APRN's National Provider Identifier is 1982111704, issued on Jan 2, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Adel, GA. The record was last updated on Oct 13, 2025.