Yolande Jackson, NP is a
Nurse Practitioner - Family physician based in Conyers, Georgia. Yolande Jackson is licensed to practice in Georgia (license number 131269) and her current practice location is 1301 Sigman Rd Ne, Conyers, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 278-0154.
NPI number for Yolande Jackson is 1164273173 and her current mailing address is 2060 Evergreen Dr Se, Conyers, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164273173.
Physician's Profile
Full Name | Yolande Jackson |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1301 Sigman Rd Ne, Conyers, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164273173
- Provider Enumeration Date: 03/28/2024
- Last Update Date: 07/30/2024
Medical Identifiers
Medical identifiers for Yolande Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164273173 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | 131269 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 131269 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Yolande Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Yolande Jackson, NP 2060 Evergreen Dr Se, Conyers, GA 30013-6417 Ph: (404) 784-5312 | Yolande Jackson, NP 1301 Sigman Rd Ne, Conyers, GA 30012-3812 Ph: (770) 278-0154 |
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