Jackson, Jennifer W
Jackson, Jennifer W is an individual health care provider with primary practice located at 204 Gordon St , Washington GA 30673-1604. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Administrator, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jackson, Jennifer W can be contacted via phone (706) 678-2622.Contact Information
Primary practice address
204 Gordon St
Washington GA 30673-1604
Phone: (706) 678-2622
Fax: (706) 678-3115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Administrator | 163WA2000X | RN141785 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN-NP141785 | Georgia |
Profile Details
| NPI number | 1639251069 |
|---|---|
| LBN Legal business name | Jackson, Jennifer W |
| Credentials | APRN, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Oct 20th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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