TANYA TAMARA JACKSON APRN
NPI 1891583258
Nurse Practitioner - Psychiatric/Mental Health in Atlanta, GA

Active since April 28, 2025
968 BROOKMERE CT, ATLANTA, GA 30349(470) 633-0313 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tanya Tamara Jackson Aprn NPPES

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

TANYA TAMARA JACKSON APRN (NPI 1891583258) is an individual psychiatric/mental health provider in Atlanta, Georgia, licensed in Georgia (R242369) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1891583258
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTANYA TAMARA JACKSONCredential: APRN
Location Address968 BROOKMERE CTAtlanta, GA 30349-6866
Mailing Address968 Brookmere CtAtlanta, GA 30349-6866 · (470) 633-0313
Sole ProprietorYes
Enumeration DateApril 28, 2025
NPPES CertifiedApril 27, 2025
NPI 1891583258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in GA · R242369
968 BROOKMERE CT, Atlanta, GA 30349

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 Tanya Jackson's NPI number?

The NPI number for Tanya Jackson is 1891583258. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Tanya Jackson located?

Tanya Jackson practices at 968 Brookmere Ct, Atlanta, GA 30349. The listed phone number is (470) 633-0313.

What is Tanya Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Tanya Jackson was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.