BESSIE MARTIN-JACKSON NPI 1881129807

NPI Information

  • NPI: 1881129807
  • Provider Name: BESSIE MARTIN-JACKSON
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1957 LAKESIDE PKWY STE 500
    TUCKER, GA
    ZIP 30084
  • Phone: (770) 270-9898

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NPI Details

Bessie Martin-jackson is a family nurse practitioner in Tucker, GA with 11 years of experience. Bessie Martin-jackson NPI is 1881129807. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1957 LAKESIDE PKWY STE 500
TUCKER, GA
ZIP 30084-859
Phone: (770) 270-9898
Fax: (770) 270-9896

The NPI 1881129807 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 4/27/2017 and was last updated on 5/3/2017.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN154263GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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