MS. ALEXANDRIA NICHELLE JACKSON (NPI# 1699277590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699277590 |
| Entity Type | Individual |
| Full Name | MS. ALEXANDRIA NICHELLE JACKSON |
| Credential | AGNP |
| Practice Address |
497 Greyhawk Way Fairburn GA 30213-4612 |
| Practice Telephone | 2292914436 |
| Mailing Telephone | 2292914436 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN249768 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN249768 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN249768 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN249768 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912274846 | Alexandria Jackson | Pharmacist | 3425 Stillmeadow Dr, Missouri City, TX 77489 | 2011-11-21 |
| 1649894023 | Alexandria Faith Jackson | Case Manager/Care Coordinator | 5131 N Classen Blvd Ste 110, Oklahoma City, OK 73118-5258 | 2020-06-02 |
| 1477028611 | Alexandria Janie Jackson | Behavioral Analyst | 865 Marina Bay Pkwy Ste 37, Richmond, CA 94804-6426 | 2018-10-03 |
| 1326527383 | Alexandria Blair Jackson | Audiologist | 333 N Texas Ave Ste 3100, Webster, TX 77598-4966 | 2018-08-10 |
| Street Address |
497 GREYHAWK WAY |
| City | FAIRBURN |
| State | GA |
| Zip Code | 30213-4612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457984262 | Stephanie Westbrook | Counselor | 5847 Landers Loop, Fairburn, GA 30213 | 2020-02-20 |
| 1255990529 | Compass Home Dialysis LLC | Clinic/Center | 178 West Cambellton St, Fairburn, GA 30213 | 2019-06-11 |
| 1780152694 | Selah | In Home Supportive Care | 5228 Rosewood Place, Fairburn, GA 30213 | 2018-11-08 |
| 1134642846 | Shaquina Jimmerson | Counselor | 1401 Peachtree St Ne, Suite 500, Atlanta, GA 30213 | 2017-07-25 |
| 1013447143 | Destoni Fleming | Durable Medical Equipment & Medical Supplies | 3885 Grassy Trace, Fairburn, GA 30213 | 2017-06-12 |
| 1003290891 | Tanya Sykes-clark | Speech-Language Pathologist | 6179 Chastain Way, Fairburn, GA 30213 | 2015-07-13 |
| 1467858613 | Dayo Ahisha Williams | Licensed Practical Nurse | 8064 South Fulton Parkway #1102, Fairburn, GA 30213 | 2014-11-17 |
| 1144658543 | Vanetta Donna Della Williams | Social Worker | 7923 Heathmore Drive, Fairburn, GA 30213 | 2013-10-22 |
| 1831522671 | Monique Harris | Social Worker | 7922 Applemist Dr, Fairburn, GA 30213 | 2013-08-15 |
| 1255668406 | Linda Walton | Occupational Therapy Assistant | 7040 Smoke Ridge Dr, Fairburn, GA 30213 | 2009-11-09 |
| Find all providers in zip 30213 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | 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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841186 | Cynthia Marie Benjamin Bates | Nurse Practitioner | 2746 Willis Foreman Rd, Hephzibah, GA 30815-6935 | 2020-11-06 |
| 1841891199 | Gloria Oduro | Nurse Practitioner | 983 Bentley Estates Dr, Dacula, GA 30019-7795 | 2020-11-03 |
| 1689274094 | Shundria Brown | Nurse Practitioner | 2122 Ellwyn Dr, Chamblee, GA 30341-1520 | 2020-10-27 |
| 1629677455 | Amy Lynn Patterson | Nurse Practitioner | 254 Senna St, Marietta, GA 30064-4417 | 2020-10-22 |
| 1538768965 | Tabitha Ford | Nurse Practitioner | 110 Shorter St Lot 9, Ty Ty, GA 31795-3179 | 2020-10-16 |
| 1902404320 | Shanelle Lynette Raiford | Nurse Practitioner | 2028 Hidden Meadow Ln, Stone Mountain, GA 30088-4448 | 2020-10-16 |
| 1760089072 | Diana Maresi Bulimu | Nurse Practitioner | 6050 Peachtree Pkwy # 240-178, Norcross, GA 30092-3336 | 2020-10-08 |
| 1760089692 | Natalie Xiomara Leak | Nurse Practitioner | 4855 Chesterfield Ct, Suwanee, GA 30024-1350 | 2020-10-05 |
| 1548877723 | Camille Watson-clarke | Nurse Practitioner | 3650 Steve Reynolds Blvd Ste 316, Duluth, GA 30096-4506 | 2020-09-30 |
| 1801403654 | Jacqueline Richart | Nurse Practitioner | 6300 Hospital Pkwy Ste 260, Johns Creek, GA 30097-1829 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. ALEXANDRIA NICHELLE JACKSON.
| 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.