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Individual

MS. BRIDGITTE L. JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP, AOCN

Contact information

Practice address
6300 HOSPITAL PKWY STE 300, JOHNS CREEK, GA 30097-1982
(770) 623-8965
(770) 623-4018
Mailing address
1835 SAVOY DR STE 300, ATLANTA, GA 30341-1071
(678) 288-9555
(678) 288-9556

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN095124 NP
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000809487AE
GA
Enumeration date
12/11/2006
Last updated
04/06/2023
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