IndividualActive
Jennifer Jackson, MBA
NPI 1093666505 · Other Technician · Atlanta, GA
Provider details
- NPI number
- 1093666505
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- MBA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
2201 Henderson Mill Rd Ne Ste 160
Atlanta, GA 30345-2711
Phone: (404) 544-2023
Fax: (404) 686-2779
Approximate (ZIP-level) locationGet directions
Mailing address
2201 Henderson Mill Rd Ne Ste 160
Atlanta, GA 30345-2711
Registry dates
- Enumerated
- 2026-02-09
- Last updated
- 2026-02-09
- Certified
- 2026-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.