Individual
NANCY R JACKSON-PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6211 MAGNOLIA RDG, STONE MOUNTAIN, GA 30087-6070
(770) 298-0961
Mailing address
6211 MAGNOLIA RDG, STONE MOUNTAIN, GA 30087-6070
(770) 298-0961
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN177419
GA
Other
Enumeration date
11/02/2020
Last updated
10/08/2025
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