Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

NANCY JACKSON RN PNP
NPI 1487615191
Nurse Practitioner in Augusta, GA

Active since March 31, 2006
1115 GARREDD BLVD, AUGUSTA, GA 30909(706) 854-9416(706) 863-8523 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nancy Jackson Rn Pnp NPPES

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

NANCY JACKSON RN PNP (NPI 1487615191) is an individual nurse practitioner in Augusta, Georgia, licensed in Georgia (R110128) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1487615191
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNANCY JACKSONCredential: RN PNP
Location Address1115 GARREDD BLVDAugusta, GA 30909
Mailing Address1115 Garredd BlvdAugusta, GA 30909 · (706) 854-9416 · Fax (706) 863-8523
Fax(706) 863-8523
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1487615191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in GA · R110128
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1115 GARREDD BLVD, Augusta, GA 30909

Other Identifiers 1

Medicaid00876939AGA

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1115 GARREDD BLVD
AUGUSTA, GA 30909
Obstetrics & Gynecology
1115 GARREDD BLVD
AUGUSTA, GA 30909
Clinic/Center (Federally Qualified Health Center (FQHC))
1115 GARREDD BLVD
AUGUSTA, GA 30909
Obstetrics & Gynecology
1115 GARREDD BLVD
AUGUSTA, GA 30909
Internal Medicine
1115 GARREDD BLVD
AUGUSTA, GA 30909
Obstetrics & Gynecology
1115 GARREDD BLVD
AUGUSTA, GA 30909
General Practice
1115 GARREDD BLVD
AUGUSTA, GA 30909
Nurse Practitioner (Obstetrics & Gynecology)
1115 GARREDD BLVD
AUGUSTA, GA 30909

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's NPI number?

The NPI number for Nancy Jackson is 1487615191. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Nancy Jackson located?

Nancy Jackson practices at 1115 Garredd Blvd, Augusta, GA 30909. The listed phone number is (706) 854-9416.

What is Nancy Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Nancy Jackson was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.