MRS. MICHELLE JACKSON APRN
NPI 1649645730
Nurse Practitioner - Family in Loganville, GA

Q: What is Michelle Jackson's NPI number?

The NPI number for Michelle Jackson is 1649645730. It was assigned to this individual provider in the NPPES registry on December 1, 2015.

Q: What is Michelle Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Jackson was last updated on February 25, 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.

Active since December 01, 2015

4593 LAWRENCEVILLE ROAD, LOGANVILLE, GA 30052(770) 466-8672 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2021, Dec 1, 2015 (2 updates tracked since 2015).

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About Mrs. Michelle Jackson Aprn NPPES

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

MRS. MICHELLE JACKSON APRN (NPI 1649645730) is an individual family provider in Loganville, Georgia, licensed in Georgia (298929) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1649645730

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MICHELLE JACKSONCredential: APRN

Location Address4593 LAWRENCEVILLE ROADLoganville, GA 30052

Mailing AddressPo Box 1908Snellville, GA 30078-3326 · (770) 466-8672

Phone(770) 466-8672

Sole ProprietorNo

Enumeration DateDecember 1, 2015

Last NPPES UpdateFebruary 25, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2021

✔ NPI 1649645730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · 298929

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License ARNP 9171924 (FL)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License ARNP 9171924 (FL)

4593 LAWRENCEVILLE ROAD, Loganville, GA 30052

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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 Michelle Jackson's NPI number?

The NPI number for Michelle Jackson is 1649645730. It was assigned to this individual provider in the NPPES registry on December 1, 2015.

Where is Michelle Jackson located?

Michelle Jackson practices at 4593 Lawrenceville Road, Loganville, GA 30052. The listed phone number is (770) 466-8672.

What is Michelle Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Michelle Jackson was last updated on February 25, 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.