# REBECCA SUZANNE JACKSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679516173
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | APRN-CNM136000 | GA | Yes |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 10/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1004732 | AMERIGROUP | GA |
| 01 | — | 340852 | WELLCARE | GA |
| 05 | — | 382185596A | — | GA |
| 05 | — | 382185596D | — | GA |
| 05 | — | 382185596E | — | GA |
| 05 | — | 382185596G | — | GA |