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NANCY R JACKSON-PATTERSON NURSE PRACTITIONER
NPI 1366043887
Nurse Practitioner - Primary Care in Stone Mountain, GA

Active since November 02, 2020
6211 MAGNOLIA RDG, STONE MOUNTAIN, GA 30087(770) 298-0961 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 8, 2025, Nov 2, 2020 (2 updates tracked since 2020).

About Nancy R Jackson-patterson Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NANCY R JACKSON-PATTERSON NURSE PRACTITIONER (NPI 1366043887) is an individual primary care provider in Stone Mountain, Georgia, licensed in Georgia (RN177419) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1366043887
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameNANCY R JACKSON-PATTERSONCredential: NURSE PRACTITIONER
Location Address6211 MAGNOLIA RDGStone Mountain, GA 30087-6070
Mailing Address6211 Magnolia RdgStone Mountain, GA 30087-6070 · (770) 298-0961
Phone(770) 298-0961
Sole ProprietorYes
Enumeration DateNovember 2, 2020
Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1366043887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in GA · RN177419
6211 MAGNOLIA RDG, Stone Mountain, GA 30087
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nancy Jackson-patterson's NPI number?

The NPI number for Nancy Jackson-patterson is 1366043887. It was assigned to this individual provider in the NPPES registry on November 2, 2020.

Where is Nancy Jackson-patterson located?

Nancy Jackson-patterson practices at 6211 Magnolia Rdg, Stone Mountain, GA 30087. The listed phone number is (770) 298-0961.

What is Nancy Jackson-patterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Nancy Jackson-patterson was last updated on October 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.