1. Home
  2. Directory
  3. Georgia
  4. Gainesville
  5. Nurse Practitioner
  6. NPI Profile

JEANINE M. JACKSON CNNP
NPI 1568434231
Nurse Practitioner - Pediatrics in Gainesville, GA

Active since February 06, 2006
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501(770) 535-3611(770) 535-7092 Get Directions Write a Review

NPPES record last updated: October 25, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeanine M. Jackson Cnnp NPPES

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

JEANINE M. JACKSON CNNP (NPI 1568434231) is an individual pediatrics provider in Gainesville, Georgia, licensed in Georgia (RN060702) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1568434231
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJEANINE M. JACKSONCredential: CNNP
Location Address725 JESSE JEWELL PKWY SEGainesville, GA 30501-3834
Mailing AddressPo Box 658Gainesville, GA 30503-0658 · (770) 718-1122 · Fax (770) 534-8998
Phone(770) 535-3611
Fax(770) 535-7092
Sole ProprietorNo
Enumeration DateFebruary 6, 2006
Last NPPES UpdateOctober 25, 2018
✔ NPI 1568434231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · RN060702
Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X · License RN060702 (GA)
725 JESSE JEWELL PKWY SE, Gainesville, GA 30501
Open in Google Maps ↗

Other Identifiers 10

Other302375GA · Wellcare
Other302386GA · Wellcare
Medicaid000731497DGA
Medicaid000731497EGA
Other302387GA · Wellcare
Other10032991GA · Amerigroup
Other302385GA · Wellcare
Medicaid000731497AGA
Medicaid000731497BGA
Medicaid000731497FGA

Other Providers at the Same Location NPPES 20

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

THE LONGSTREET CLINIC, PC
Clinical Medical Laboratory
725 JESSE JEWELL PKWY SE, SUITE 260
GAINESVILLE, GA 30501
Hall County (770) 535-0079
EILEEN JAVELLANA MD
Internal Medicine
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (678) 207-4373
MRS. BRANDI NICHELLE MONROE PA
Physician Assistant (Surgical)
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (678) 207-4000
MRS. JEANETTE SUSAN PIRKLE APRN, NP-C
Nurse Practitioner (Family)
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (770) 297-5700
COURTNEY L GRANT M.D.
Surgery (Vascular Surgery)
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (678) 207-4000
MARY HANNAH READ MD
Surgery
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (770) 533-6523
WESLEY AARON ZILA PA-C
Physician Assistant
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (678) 207-4000
NANCY ELLEN JOHNSON MD
Pediatrics
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (770) 535-3611

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 Jeanine Jackson's NPI number?

The NPI number for Jeanine Jackson is 1568434231. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Jeanine Jackson located?

Jeanine Jackson practices at 725 Jesse Jewell Pkwy SE, Gainesville, GA 30501. The listed phone number is (770) 535-3611.

What is Jeanine Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Jeanine Jackson was last updated on October 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.