MRS. STEPHANIE D JACKSON RN
NPI 1902559784
Registered Nurse in Loganville, GA

Q: What is Stephanie Jackson's NPI number?

The NPI number for Stephanie Jackson is 1902559784. It was assigned to this individual provider in the NPPES registry on February 1, 2022. The provider is also known as Ms. Stephanie Denise Ray Rn.

Q: What is Stephanie Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Jackson was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 01, 2022

4605 CHESTNUT OAK ST, LOGANVILLE, GA 30052(423) 227-8576 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Stephanie D Jackson Rn NPPES

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

MRS. STEPHANIE D JACKSON RN (NPI 1902559784) is an individual registered nurse in Loganville, Georgia, licensed in Georgia (RN210155) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1902559784

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameMRS. STEPHANIE D JACKSONCredential: RN

Location Address4605 CHESTNUT OAK STLoganville, GA 30052-9408

Mailing Address4605 Chestnut Oak StLoganville, GA 30052-9408 · (423) 227-8576

Phone(423) 227-8576

Sole ProprietorNo

Enumeration DateFebruary 1, 2022

NPPES CertifiedFebruary 1, 2022

✔ NPI 1902559784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in GA · RN210155

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Also ListedRegistered Nurse · AdministratorTaxonomy 163WA2000X · License RN210155 (GA)

Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License RN210155 (GA)

Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License RN (GA)

Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X · License RN210155 (GA)

Also ListedRegistered Nurse · Enterostomal TherapyTaxonomy 163WE0900X · License RN210155 (GA)

Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License RN (GA)

Also ListedRegistered Nurse · HospiceTaxonomy 163WH1000X · License RN (GA)

Also ListedRegistered Nurse · Infusion TherapyTaxonomy 163WI0500X · License RN (GA)

Also ListedRegistered Nurse · Nutrition SupportTaxonomy 163WN1003X · License RN210155 (GA)

Also ListedRegistered Nurse · Pain ManagementTaxonomy 163WP0000X · License RN210155 (GA)

Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X · License RN210155 (GA)

Also ListedRegistered Nurse · OrthopedicTaxonomy 163WX0800X · License RN210155 (GA)

Also ListedRegistered Nurse · Ostomy CareTaxonomy 163WX1500X · License RN210155 (GA)

4605 CHESTNUT OAK ST, Loganville, GA 30052

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Other Names 1

Former Name (1)Ms. Stephanie Denise Ray Rn

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOLACE HEALTH AND WELLNESS, LLC

Clinical Medical Laboratory

4605 CHESTNUT OAK ST
LOGANVILLE, GA 30052

Gwinnett County (423) 227-8576

AMENITY NURSING CARE AND COMPANION SERVICES, LLC

In Home Supportive Care

4605 CHESTNUT OAK ST
LOGANVILLE, GA 30052

Gwinnett County (404) 548-8442

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 Stephanie Jackson's NPI number?

The NPI number for Stephanie Jackson is 1902559784. It was assigned to this individual provider in the NPPES registry on February 1, 2022. The provider is also known as Ms. Stephanie Denise Ray Rn.

Where is Stephanie Jackson located?

Stephanie Jackson practices at 4605 Chestnut Oak St, Loganville, GA 30052. The listed phone number is (423) 227-8576.

What is Stephanie Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Jackson was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.