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Individual

BRITTANY LYNNE JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, ACNPC-AG

Contact information

Practice address
6507 PROFESSIONAL PL, RIVERDALE, GA 30274-4941
(404) 778-7777
Mailing address
1501 CLAIRMONT RD APT 1623, DECATUR, GA 30033-4604
(770) 769-7147

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN265101
GA

Other

Enumeration date
08/22/2019
Last updated
10/11/2025
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