HOLLY M JACKSON


Address: 905 Dixie St, Carrollton, GA 30117-4417
Phone: 7708125831

HOLLY M JACKSON (NPI# 1427576511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427576511
Entity Type Individual
Full Name HOLLY M JACKSON
Credential NP
Practice Address 905 Dixie St
Carrollton
GA 30117-4417
Mailing Address 119 Ambulance Dr Ste 202
Carrollton
GA 30117-3857
Practice Telephone 7708125831
Mailing Telephone 7708388710
Mailing Fax Number 7708388563
Enumeration Date 2017-09-08
Last Update Date 2017-09-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN216051 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers HOLLY JACKSON

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1013212711 Holly Jackson Social Worker 511 W 86th Ter, Kansas City, MO 64114-2822 2011-01-11
1083882278 Holly Jackson Licensed Practical Nurse 2040 Murray Holladay Rd Ste 205, Salt Lake City, UT 84117-5197 2008-02-11
1548753700 Holly Jean Jackson Behavior Technician 19800 Village Office Ct, Bend, OR 97702-1872 2018-06-12
1922596220 Holly Suzanne Jackson Counselor 1100 Walnut St, Owensboro, KY 42301-2956 2018-04-23
1720575392 Holly Jackson Nurse Anesthetist, Certified Registered 7601 Southcrest Pkwy, Southaven, MS 38671-4739 2018-04-18
1427597301 Holly Jackson Registered Nurse 1109 Jones St, Kennett, MO 63857-3824 2017-02-13
1023551223 Holly V Jackson Advanced Practice Midwife 1900 S Tuttle Ave, Sarasota, FL 34239-3114 2016-11-21

Office Location

Street Address 905 DIXIE ST
City CARROLLTON
State GA
Zip Code 30117-4417

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255315016 Robert K Naguszewski Psychiatry & Neurology 905 Dixie St, Carrollton, GA 30117-4417 2005-12-05
1861620353 Yelena Ranika Makori Internal Medicine 905 Dixie St, Carrollton, GA 30117-4417 2009-06-23
1467688176 Fredrick Omurwa Makori Internal Medicine 905 Dixie St, Carrollton, GA 30117-4417 2009-06-09
1619144722 Emily Marciniak Rooks Family Medicine 905 Dixie St, Carrollton, GA 30117-4417 2008-05-08
1437344603 Angela Oanh Pham Internal Medicine 905 Dixie St, Carrollton, GA 30117-4417 2007-09-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679199392 Southern Rad Onc LLC Radiology 809 South Park Street, Carrollton, GA 30117 2020-06-18
1093361404 Eyedeal Eyecare LLC Optometrist 1735 S Us 27, Carrollton, GA 30117 2019-08-12
1710412473 Janis James Optometrist 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 2017-05-01
1568881951 Omar Hajmurad Anesthesiology 812 S Park St Ste 5, Carrollton, GA 30117 2014-04-14
1134550353 Goodbodys Minor Med Express Care Nurse Practitioner 1670 South Park St., Carrollton, GA 30117 2013-12-13
1306187570 Myriam C Vela-ortiz Internal Medicine 157 Clinic Ave Ste 203, Carrollton, GA 30117 2013-03-12
1891030201 Air Evac Ems, Inc. Ambulance 827 Old Bremen Rd, Carrollton, GA 30117 2012-12-11
1952682486 Angelic Wings Transport, Inc. Non-emergency Medical Transport (VAN) 362 B Columbia Drive, Carrollton, GA 30117 2011-08-29
1073819256 Atlanta Prosthetics & Orthotics, Inc. Durable Medical Equipment & Medical Supplies 812 South Park Street, Suite 2, Carrollton, GA 30117 2011-02-04
1255640348 Amy Gilbert Counselor 515 Tanner St, Carrollton, GA 30117 2010-10-06
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1861001000 Allwell Health Care Nurse Practitioner 1001 E Hebron Pkwy Ste 118-297, Carrollton, TX 75010-1002 2020-07-23
1114536364 Gloria Oluchi Ikonne Nurse Practitioner 1001 East Hebron Pkwy Suite 118-297, Carrollton, TX 75010-1015 2020-07-23
1851909717 Antoinae Hawkins Nurse Practitioner 1110 E Branch Hollow Dr Apt 356, Carrollton, TX 75007-1072 2020-07-16
1770106429 Rhema Healthcare Services Nurse Practitioner 1420 Valwood Pkwy Ste No20170a, Carrollton, TX 75006-8312 2020-05-28
1255968004 Eunjung Kim Nurse Practitioner 4444 Saukenuk Ln, Carrollton, TX 75010-1203 2020-03-23
1124660063 Jenna Brooke Pugh Nurse Practitioner 2160 County Road 130, Carrollton, MS 38917-5731 2019-10-11
1760023972 Amy Rowell Nurse Practitioner 150 Clinic Ave Ste 201, Carrollton, GA 30117-4402 2019-09-30
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Competitor

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City CARROLLTON
Zip Code 30117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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