Individual
MELANIE ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 LANEY WALKER BLVD, AUGUSTA, GA 30912-0002
(706) 721-6744
Mailing address
1411 LANEY WALKER BLVD, AUGUSTA, GA 30912-0002
(706) 721-6744
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP005105
GA
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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