Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JUBRENZA RENAE JACKSON APC
NPI 1720911191
Counselor - Mental Health in Buford, GA

Q: What is Jubrenza Jackson's NPI number?

The NPI number for Jubrenza Jackson is 1720911191. It was assigned to this individual provider in the NPPES registry on June 5, 2026.

Q: What is Jubrenza Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jubrenza Jackson was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 June 05, 2026

2954 WARDLAW LN, BUFORD, GA 30519(404) 981-4415 Get Directions Write a Review

NPPES record added: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jubrenza Renae Jackson Apc NPPES

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

JUBRENZA RENAE JACKSON APC (NPI 1720911191) is an individual mental health provider in Buford, Georgia, licensed in Georgia (APC010813) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1720911191

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJUBRENZA RENAE JACKSONCredential: APC

Location Address2954 WARDLAW LNBuford, GA 30519-3828

Mailing Address2954 Wardlaw LnBuford, GA 30519-3828 · (404) 981-4415

Phone(404) 981-4415

Sole ProprietorYes

Enumeration DateJune 5, 2026

NPPES CertifiedJune 5, 2026

✔ NPI 1720911191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in GA · APC010813

2954 WARDLAW LN, Buford, GA 30519

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jubrenza Jackson's NPI number?

The NPI number for Jubrenza Jackson is 1720911191. It was assigned to this individual provider in the NPPES registry on June 5, 2026.

Where is Jubrenza Jackson located?

Jubrenza Jackson practices at 2954 Wardlaw Ln, Buford, GA 30519. The listed phone number is (404) 981-4415.

What is Jubrenza Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jubrenza Jackson was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.