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MRS. AMANDA HOLLOMAN JACKSON FNP-C
NPI 1689958837
Nurse Practitioner - Family in Atlanta, GA

Active since October 06, 2011
550 PEACHTREE ST NE STE 1275, ATLANTA, GA 30308(404) 872-3121(404) 872-3119 Get Directions Write a Review

NPPES record last updated: November 18, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Amanda Holloman Jackson Fnp-c NPPES

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

MRS. AMANDA HOLLOMAN JACKSON FNP-C (NPI 1689958837) is an individual family provider in Atlanta, Georgia, licensed in Georgia (RN097491) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1689958837
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. AMANDA HOLLOMAN JACKSONCredential: FNP-C
Location Address550 PEACHTREE ST NE STE 1275Atlanta, GA 30308-2240
Mailing Address550 Peachtree St Ne Ste 1275Atlanta, GA 30308-2240 · (404) 872-3121 · Fax (404) 872-3119
Phone(404) 872-3121
Fax(404) 872-3119
Sole ProprietorNo
Enumeration DateOctober 6, 2011
Last NPPES UpdateNovember 18, 2011
✔ NPI 1689958837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN097491
550 PEACHTREE ST NE STE 1275, Atlanta, GA 30308
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Other Identifiers 1

Medicaid00311409AGA

Other Providers at the Same Location NPPES 17

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

JILL M ANTISELL CNM
Midwife
550 PEACHTREE ST NE STE 1275
ATLANTA, GA 30308
Fulton County (404) 872-3121
RYAN JEWELL SCHLUETER DO
Obstetrics & Gynecology (Maternal & Fetal Medicine)
550 PEACHTREE ST NE STE 1275
ATLANTA, GA 30308
Fulton County (404) 872-3121
LAISA LEMES PA
Physician Assistant (Medical)
550 PEACHTREE ST NE STE 1275
ATLANTA, GA 30308
Fulton County (404) 872-3121
ALYSSA DANIELLE HOSEY JOHNSON FNP-BC
Nurse Practitioner (Family)
550 PEACHTREE ST NE STE 1275
ATLANTA, GA 30308
Fulton County (678) 904-3880
MRS. CHANDA L JOHNSON WHNP
Nurse Practitioner (Women's Health)
550 PEACHTREE ST NE STE 1275
ATLANTA, GA 30308
Fulton County (404) 872-3121
MRS. XIAOYAN LI
Nurse Practitioner (Women's Health)
550 PEACHTREE ST NE STE 1275
ATLANTA, GA 30308
Fulton County (404) 872-3121
ATLANTA PERINATAL ASSOCIATES
Obstetrics & Gynecology (Maternal & Fetal Medicine)
550 PEACHTREE ST NE STE 1275
ATLANTA, GA 30308
Fulton County (404) 872-3121
CHINWEOKE U EZEKWUECHE NP
Nurse Practitioner
550 PEACHTREE ST NE STE 1275
ATLANTA, GA 30308
Fulton County (404) 872-3121

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 Amanda Jackson's NPI number?

The NPI number for Amanda Jackson is 1689958837. It was assigned to this individual provider in the NPPES registry on October 6, 2011.

Where is Amanda Jackson located?

Amanda Jackson practices at 550 Peachtree St NE Ste 1275, Atlanta, GA 30308. The listed phone number is (404) 872-3121.

What is Amanda 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 Amanda Jackson was last updated on November 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.