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Jackson W Simpson

Student in an Organized Health Care Education/Training Program in Atlanta, GA. Individual provider (NPI-1).

NPI number1023933504
StatusActive
Last updated in NPPESAug 12, 2026

Details

NPI
1023933504
Entity type
Individual (NPI-1)
Name
Jackson W Simpson
Sex
Male
Sole proprietor
No
Enumeration date
Aug 12, 2026
Certification date
Aug 12, 2026
Last updated
Aug 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

451 Lee St Sw Unit 2010
Atlanta, GA 30310-1408

Phone 480-375-8695

Mailing address

451 Lee St Sw Unit 2010
Atlanta, GA 30310-1408

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