IndividualActive
Andrea Jackson, PMHNP
NPI 1578232443 · Psychiatric/Mental Health Nurse Practitioner · Evans, GA
Provider details
- NPI number
- 1578232443
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- License
- RN186919 (GA)
Practice location
1202 Town Park Ln Ste 300
Evans, GA 30809-3477
Phone: (706) 432-6866
Mailing address
864 Lake Royal Dr
Grovetown, GA 30813-4516
Registry dates
- Enumerated
- 2021-09-13
- Last updated
- 2023-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.