Jackson, Ancelle
Jackson, Ancelle is an individual health care provider with primary practice located at 774 Highway 96 , Bonaire GA 31005-3300. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jackson, Ancelle can be contacted via phone (478) 988-5711.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 11000926 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN300851 | Georgia |
Profile Details
NPI number | 1477027373 |
---|---|
LBN Legal business name | Jackson, Ancelle |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 14th, 2019 |
Last updated | Jun 18th, 2021 - about 3 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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