IndividualActive
Alice Jackson, RN
NPI 1366838906 · Registered Nurse · Fort Gordon, GA
Provider details
- NPI number
- 1366838906
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN062766 (GA)
Specialties & taxonomies
Nursing Service Providers
Practice location
300 Hospital Drive
Fort Gordon, Georgia
Fort Gordon, GA 30905
Phone: (706) 787-6692
Approximate (ZIP-level) locationGet directions
Mailing address
300 Hospital Drive East
Fort Gordon, GA 30905
Registry dates
- Enumerated
- 2015-04-10
- Last updated
- 2015-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.