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Kierney Jackson, PA — NPI 1003057621, Gainesville, GA | NPI Central

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Kierney Jackson, PA

NPI 1003057621 · Physician Assistant · Gainesville, GA

Provider details

NPI number: 1003057621
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA
Sex: Female
Sole proprietor: No
License: 1397 (SC)

Specialties & taxonomies

Physician AssistantPrimary363A00000XLicense 7782 (GA)
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant363A00000XLicense 1397 (SC)
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant363A00000XLicense 0010-02288 (NC)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

200 S Enota Dr Ne Ste 360

Gainesville, GA 30501-3466

Phone: (770) 219-4000

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

Po Box 742616

Atlanta, GA 30374-2616

Additional practice locations (1)

1350 S Kings Dr
Charlotte, NC 28207-2134
Phone: (704) 446-1255
Fax: (704) 446-1276

Registry dates

Enumerated: 2009-03-11
Last updated: 2025-09-25
Certified: 2025-09-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.