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Contact Information

JENNIFER J JACKSON, PA
2001 PEACHTREE RD NE STE 645
ATLANTA, GA30309-1476
 Phone: 404-605-2050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JENNIFER J JACKSON · (Female)

NPI Number 1235196684
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 04/28/2006
Last updated 07/31/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • GA License # 002415
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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