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Individual

SUNNY MICHELE JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2220 N DRUID HILLS RD NE, ATLANTA, GA 30329-3117
(404) 785-4747
Mailing address
2220 N DRUID HILLS RD NE, ATLANTA, GA 30329-3117

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-NP268768
GA

Other

Enumeration date
01/17/2025
Last updated
12/05/2025
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