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Individual
MRS. JENNIFER PARKER JACKSON
Active
Individual
MRS. JENNIFER PARKER JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
206943
NC
363L00000X
Nurse Practitioner
27055
SC
363L00000X
Nurse Practitioner
Primary
GAA-NP003095
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
206943
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5006893
NC
Other
Enumeration date
11/18/2009
Last updated
12/17/2025
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