TANYA TAMARA JACKSON APRN NPI 1891583258

NPI Information

  • NPI: 1891583258
  • Provider Name: TANYA TAMARA JACKSON, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 968 BROOKMERE CT
    ATLANTA, GA
    ZIP 30349
  • Phone: (470) 633-0313

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NPI Details

Tanya Tamara Jackson, APRN is a psychiatric/mental health nurse practitioner in Atlanta, GA. Tanya Tamara Jackson, APRN NPI is 1891583258. 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:

968 BROOKMERE CT
ATLANTA, GA
ZIP 30349-866
Phone: (470) 633-0313

The enumeration date for this NPI number is 4/28/2025 and was last updated on 4/28/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthR242369GEORGIAYes

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

NPI Synchronization or Removal

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