Individual
MRS. CARROLL DAVIS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
172 MJ TAYLOR RD, ADEL, GA 31620-3497
(229) 896-8500
Mailing address
907 18TH ST E STE 400, TIFTON, GA 31794-3684
(229) 353-3422
(229) 353-6060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP167907
GA
Other
Enumeration date
01/02/2018
Last updated
10/13/2025
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