NPI age
20 years
Enumerated 2006-02-06
● Active
Type 1 · Individual
Jeanine M. Jackson, CNNP
Jackson is 1 of 15 nurse practitioner providers in Gainesville and 1 of 929 in Georgia.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-10-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 929 active nurse practitioner providers in Georgia.
NPI age
20 years
↑ 10 yr above median (10 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
1
In the 19% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-02Enumerated in NPPES
2006
2026
Where they practice
Practice location
725 Jesse Jewell Pkwy Se
Gainesville, GA 305013834
Mailing address
Po Box 658
Gainesville, GA 305030658
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse PractitionerDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000731497D | |
| 01 (GA) | 302386 | WELLCARE |
| 05 (GA) | 000731497E | |
| 05 (GA) | 000731497A | |
| 01 (GA) | 302385 | WELLCARE |
| 05 (GA) | 000731497B | |
| 05 (GA) | 000731497F | |
| 01 (GA) | 302387 | WELLCARE |
| 01 (GA) | 10032991 | AMERIGROUP |
| 01 (GA) | 302375 | WELLCARE |
Practice context
Part of a multi-provider practice. 151 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.