# MS. ALEXANDRIA NICHELLE JACKSON

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

## Provider details

- **NPI number:** 1699277590
- **Gender:** F
- **Credential:** AGNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 0043036 | OH | — |
| 363L00000X | Nurse Practitioner | 2026043495 | MO | — |
| 363L00000X | Nurse Practitioner | 751418 | NY | — |
| 363L00000X | Nurse Practitioner | RN249768 | GA | Yes |
| 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