Organization
RUBY & PEARL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHELLE LATOYA JACKSON FNP-C, PMHNP-BC (OWNER)
(404) 480-2760
Entity
Organization
Contact information
Practice address
2180 SATELLITE BLVD STE 400, DULUTH, GA 30097-4927
(404) 480-2760
(949) 703-8760
Mailing address
1052 ASHTON PARK DR, LAWRENCEVILLE, GA 30045-7277
(404) 480-2760
(949) 703-8760
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us