MRS. SIMONE ANNMARIE WATSON-JACKSON PMHNP
NPI 1104704519
Nurse Practitioner - Psychiatric/Mental Health in Atlanta, GA
Active since August 25, 2025
About Mrs. Simone Annmarie Watson-jackson Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SIMONE ANNMARIE WATSON-JACKSON PMHNP (NPI 1104704519) is an individual psychiatric/mental health provider in Atlanta, Georgia, licensed in Georgia (RN294317) and active in the NPI registry since August 2025.
NPPES Registry Identity
NPI1104704519
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. SIMONE ANNMARIE WATSON-JACKSONCredential: PMHNP
Location Address901 RICE ST NWAtlanta, GA 30318-4938
Mailing Address901 Rice St NwAtlanta, GA 30318-4938
Phone(404) 613-2000
Sole ProprietorNo
Enumeration DateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1104704519 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN294317
901 RICE ST NW, Atlanta, GA 30318
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104704519, enumerated as an "individual" on August 25, 2025.
The provider is located at 901 RICE ST NW ATLANTA, GA 30318 and the phone number is (404) 613-2000.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
