MS. IEACHA SHAHARA JACKSON APRN
NPI 1891524799
Nurse Practitioner - Family in Richland, GA

Active since July 29, 2024
66 CHURCH ST, RICHLAND, GA 31825(229) 449-1289 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Ieacha Shahara Jackson Aprn NPPES

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

MS. IEACHA SHAHARA JACKSON APRN (NPI 1891524799) is an individual family provider in Richland, Georgia, licensed in Georgia (F07241421) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1891524799
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. IEACHA SHAHARA JACKSONCredential: APRN
Location Address66 CHURCH STRichland, GA 31825-6210
Mailing AddressPo Box 291Richland, GA 31825-0291 · (229) 449-1289
Sole ProprietorYes
Enumeration DateJuly 29, 2024
NPPES CertifiedJuly 26, 2024
NPI 1891524799 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 · F07241421
66 CHURCH ST, Richland, GA 31825

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 Ieacha Jackson's NPI number?

The NPI number for Ieacha Jackson is 1891524799. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Ieacha Jackson located?

Ieacha Jackson practices at 66 Church St, Richland, GA 31825. The listed phone number is (229) 449-1289.

What is Ieacha 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 Ieacha Jackson was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.