PAMELA MANIOR-JACKSON
NPI 1770937179
Licensed Practical Nurse in Decatur, GA

Active since April 21, 2016
455 WINN WAY, DECATUR, GA 30030(404) 294-3745 Get Directions Write a Review

NPPES record last updated: April 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pamela Manior-jackson NPPES

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

PAMELA MANIOR-JACKSON (NPI 1770937179) is an individual licensed practical nurse in Decatur, Georgia, licensed in Georgia (LPN054228) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1770937179
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NamePAMELA MANIOR-JACKSON
Location Address455 WINN WAYDecatur, GA 30030-1707
Mailing Address455 Winn WayDecatur, GA 30030-1707 · (404) 294-3745
Sole ProprietorNo
Enumeration DateApril 21, 2016
NPI 1770937179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in GA · LPN054228
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
455 WINN WAY, Decatur, GA 30030

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.

Registered Nurse
455 WINN WAY
DECATUR, GA 30030
Clinical Nurse Specialist (Psychiatric/Mental Health)
455 WINN WAY, DEKALB CRISIS CENTER
DECATUR, GA 30030
Registered Nurse
455 WINN WAY
DECATUR, GA 30030
Registered Nurse
455 WINN WAY
DECATUR, GA 30030
Registered Nurse
455 WINN WAY
DECATUR, GA 30030
Licensed Practical Nurse
455 WINN WAY
DECATUR, GA 30030
Counselor
455 WINN WAY
DECATUR, GA 30030
Community/Behavioral Health
455 WINN WAY
DECATUR, GA 30030

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 Pamela Manior-jackson's NPI number?

The NPI number for Pamela Manior-jackson is 1770937179. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Where is Pamela Manior-jackson located?

Pamela Manior-jackson practices at 455 Winn Way, Decatur, GA 30030. The listed phone number is (404) 294-3745.

What is Pamela Manior-jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Pamela Manior-jackson was last updated on April 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.