Nancy R Jackson-Patterson, Nurse Practitioner
Nurse Practitioner, Primary Care in Stone Mountain, GA. Individual provider (NPI-1).
NPI number1366043887
StatusActive
Last updated in NPPESOct 8, 2025
Details
- NPI
- 1366043887
- Entity type
- Individual (NPI-1)
- Name
- Nancy R Jackson-Patterson
- Credential
- Nurse Practitioner
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 2, 2020
- Certification date
- Oct 8, 2025
- Last updated
- Oct 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | RN177419 | GA | Yes |
Practice location
6211 Magnolia RdgStone Mountain, GA 30087-6070
Phone 770-298-0961
Mailing address
6211 Magnolia RdgStone Mountain, GA 30087-6070
Phone 770-298-0961
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