VENITA JOY JACKSON P.A.-C NPI 1851683460

NPI Information

Venita Joy Jackson, P.A.-C is a medical physician assistant in Atlanta, GA with 14 years of experience. Venita Joy Jackson, P.A.-C NPI is 1851683460. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2010

The provider's business location address is:

550 PEACHTREE ST NE
1810
ATLANTA, GA
ZIP 30308-208
Phone: (404) 223-1329

The NPI 1851683460 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/15/2011 and was last updated on 11/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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