Jackson, Alexandria Nichelle

Jackson, Alexandria Nichelle is an individual health care provider with primary practice located at 497 Greyhawk Way , Fairburn GA 30213-4612. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jackson, Alexandria Nichelle can be contacted via phone (229) 291-4436.

Contact Information

Primary practice address
497 Greyhawk Way Fairburn GA 30213-4612
Phone: (229) 291-4436
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN249768 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN249768 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN249768 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN249768 Georgia

Profile Details

NPI number 1699277590
LBN Legal business name Jackson, Alexandria Nichelle
Credentials AGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2018
Last updated Mar 6th, 2018 - about 6 years ago

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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