Individual
MS. JENNIFER JACQUELINE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2001 PEACHTREE RD NE STE 645, ATLANTA, GA 30309-1476
(404) 605-2050
Mailing address
2001 PEACHTREE RD NE STE 645, ATLANTA, GA 30309-1476
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
002415
GA
363A00000X
Physician Assistant
Primary
002415
GA
Other
Enumeration date
04/28/2006
Last updated
07/31/2025
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