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MS. HAZEL ANITA JACKSON MN, RN, APRN,BC
NPI 1770510802
Registered Nurse - Medical-Surgical in Decatur, GA

Active since June 26, 2006
1670 CLAIRMONT RD, DECATUR, GA 30033(404) 321-6111(404) 327-4972 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ms. Hazel Anita Jackson Mn, Rn, Aprn,bc NPPES

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

MS. HAZEL ANITA JACKSON MN, RN, APRN,BC (NPI 1770510802) is an individual medical-surgical provider in Decatur, Georgia, licensed in Georgia (R084397) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1770510802
Entity TypeIndividualFemale
Primary Taxonomy163WM0705X
Provider Legal NameMS. HAZEL ANITA JACKSONCredential: MN, RN, APRN,BC
Location Address1670 CLAIRMONT RDDecatur, GA 30033-4004
Mailing Address1429 Oak Knoll Dr NeConyers, GA 30012-4751 · (770) 918-1558
Phone(404) 321-6111
Fax(404) 327-4972
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770510802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Medical-SurgicalNursing Service Providers
Taxonomy Code163WM0705X
License✔ Licensed in GA · R084397
1670 CLAIRMONT RD, Decatur, GA 30033
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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.

MRS. LAPARISIENNE MOORE-BROWN LMSW
Social Worker
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
BRANDON HAYGOOD
Social Worker
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
ARIANNE JAMES
Registered Nurse
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
KARLA MARIE GARCIA ORTIZ MD
Family Medicine
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (044) 680-7354
MRS. JENNIFER REBECCA MUNRO MS, CCC/SLP
Speech-Language Pathologist
1670 CLAIRMONT RD, ATLANTA VAMC CODE 126 AUDIOLOGY AND SPEECH PATHOLOGY
DECATUR, GA 30033
Dekalb County (404) 417-2953
DR. NED WILSON HOLLAND MD
Internal Medicine (Geriatric Medicine)
1670 CLAIRMONT RD, VAMC - 11B
DECATUR, GA 30033
Dekalb County (404) 321-6111
MR. ROOSEVELT N/A DAVIS RPH
Pharmacist (Pharmacotherapy)
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
CEDRELLA CAROL JONES-TAYLOR M.D.
Internal Medicine
1670 CLAIRMONT RD, PRIMARY CARE
DECATUR, GA 30033
Dekalb County (404) 321-6111

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 Hazel Jackson's NPI number?

The NPI number for Hazel Jackson is 1770510802. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Hazel Jackson located?

Hazel Jackson practices at 1670 Clairmont Rd, Decatur, GA 30033. The listed phone number is (404) 321-6111.

What is Hazel Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Medical-Surgical, with taxonomy code 163WM0705X.

When was this NPI record last updated?

The NPPES record for Hazel Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.