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Individual
MS. ALEXANDRIA NICHELLE JACKSON
Active
Individual
MS. ALEXANDRIA NICHELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0043036
OH
363L00000X
Nurse Practitioner
2026043495
MO
363L00000X
Nurse Practitioner
751418
NY
363L00000X
Nurse Practitioner
Primary
RN249768
GA
363LA2200X
Adult Health Nurse Practitioner
RN249768
GA
363LC1500X
Community Health Nurse Practitioner
71013380A
IN
363LG0600X
Gerontology Nurse Practitioner
RN249768
GA
363LP2300X
Primary Care Nurse Practitioner
RN249768
GA
Other
Enumeration date
03/06/2018
Last updated
09/29/2026
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