NPI age
11 years
Enumerated 2014-07-07
● Active
Type 1 · Individual
Nicole Stanley Jackson, NP-C
Jackson is 1 of 1 nurse practitioner providers in Tennille and 1 of 8826 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-10-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 8826 active nurse practitioner providers in Georgia.
NPI age
11 years
↑ 4 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-07Enumerated in NPPES
2014
2026
Where they practice
Practice location
116 Smith St
Tennille, GA 310891465
Mailing address
Po Box 371
Wrightsville, GA 310960371
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | F0414179 | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
| 01 (GA) | RN143548 | GEORGIA SECRETARY OF STATE |
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- 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.