P Praxis·MD
● Active Type 1 · Individual

MRS. Stephanie D Jackson, RN

Registered Nurse·Loganville, GA· NPI 1902559784 · Enumerated 2022 · 4 years on NPI
Jackson is 1 of 21 registered nurse providers in Loganville and 1 of 3207 in Georgia.
NPI age
4 years
Enumerated 2022-02-01
Primary specialty
Registered Nurse
Plus 13 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-02-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3207 active registered nurse providers in Georgia.

NPI age
4 years
≈ at median (5 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
13
In the 8% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-02Enumerated in NPPES
2022 2026

Where they practice

Practice location
4605 Chestnut Oak St
Loganville, GA 300529408
📞 4232278576
Mailing address
4605 Chestnut Oak St
Loganville, GA 300529408
📞 4232278576

Specialties

  • Registered Nurse Primary
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    GA license #RN210155 taxonomy 163W00000X
  • Registered Nurse
    Definition to come...
    GA license #RN210155 taxonomy 163WC0400X
  • Registered Nurse
    Definition to come...
    GA license #RN210155 taxonomy 163WE0900X
  • Registered Nurse
    Definition to come...
    GA license #RN taxonomy 163WH0200X
  • Registered Nurse
    Definition to come...
    GA license #RN taxonomy 163WC1500X
  • Registered Nurse
    Definition to come...
    GA license #RN210155 taxonomy 163WD0400X
  • Registered Nurse
    Definition to come...
    GA license #RN210155 taxonomy 163WA2000X
  • Registered Nurse
    Definition to come...
    GA license #RN taxonomy 163WH1000X
  • Registered Nurse
    Definition to come...
    GA license #RN taxonomy 163WI0500X
  • Registered Nurse
    Definition to come...
    GA license #RN210155 taxonomy 163WN1003X
  • Registered Nurse
    Definition to come...
    GA license #RN210155 taxonomy 163WP0000X
  • Registered Nurse
    Definition to come...
    GA license #RN210155 taxonomy 163WW0000X
  • Registered Nurse
    Definition to come...
    GA license #RN210155 taxonomy 163WX0800X
  • Registered Nurse
    Definition to come...
    GA license #RN210155 taxonomy 163WX1500X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 5 new registered nurse providers have been added in Loganville in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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