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NICOLETTE JACKSON
NPI 1508455189
Nurse's Aide in Atlanta, GA

Active since January 18, 2021
1303 LOCKHAVEN CIR SW, ATLANTA, GA 30311(770) 912-8801(770) 936-1937 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicolette Jackson NPPES

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

NICOLETTE JACKSON (NPI 1508455189) is an individual nurse's aide in Atlanta, Georgia, licensed in Georgia (CN0030036955) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1508455189
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameNICOLETTE JACKSON
Location Address1303 LOCKHAVEN CIR SWAtlanta, GA 30311-3521
Mailing Address1303 Lockhaven Cir SwAtlanta, GA 30311-3521 · (770) 912-8801 · Fax (770) 936-1937
Phone(770) 912-8801
Fax(770) 936-1937
Sole ProprietorNo
Enumeration DateJanuary 18, 2021
NPPES CertifiedJanuary 18, 2021
✔ NPI 1508455189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License✔ Licensed in GA · CN0030036955
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
1303 LOCKHAVEN CIR SW, Atlanta, GA 30311
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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 Nicolette Jackson's NPI number?

The NPI number for Nicolette Jackson is 1508455189. It was assigned to this individual provider in the NPPES registry on January 18, 2021.

Where is Nicolette Jackson located?

Nicolette Jackson practices at 1303 Lockhaven Cir SW, Atlanta, GA 30311. The listed phone number is (770) 912-8801.

What is Nicolette Jackson's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Nicolette Jackson was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.