MISSY LEIGH JACKSON NPI 1396183752

NPI Information

NPI: 1396183752
Provider Name: MISSY LEIGH JACKSON
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
803 S MAIN ST
GREENSBORO, GA
ZIP 30642
Phone: (706) 319-8762
Get Directions

Missy Leigh Jackson is a women's health nurse practitioner in Greensboro, GA. Missy Leigh Jackson NPI is 1396183752. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

803 S MAIN ST
GREENSBORO, GA
ZIP 30642-211
Phone: (706) 319-8762
Fax: (706) 999-3221

The enumeration date for this NPI number is 6/7/2013 and was last updated on 6/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	RN139599	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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