Individual
MS. CHANTILEER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1200 N JEFFERSON ST, ALBANY, GA 31701-2057
(229) 888-0203
(229) 889-9386
Mailing address
1200 N JEFFERSON ST, ALBANY, GA 31701-2057
(229) 888-3970
(229) 889-9386
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN324992
GA
Other
Enumeration date
03/22/2013
Last updated
11/18/2025
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