| Jeanine M Jackson, CNNP | |
| 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | |
| (770) 535-3611 | |
| (770) 535-7092 | 
| Full Name | Jeanine M Jackson | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Pediatrics | 
| Location | 725 Jesse Jewell Pkwy Se, Gainesville, Georgia | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568434231 | NPI | - | NPPES | 
| 000731497D | Medicaid | GA | |
| 302386 | Other | GA | WELLCARE | 
| 000731497E | Medicaid | GA | |
| 000731497A | Medicaid | GA | |
| 302385 | Other | GA | WELLCARE | 
| 000731497B | Medicaid | GA | |
| 000731497F | Medicaid | GA | |
| 302387 | Other | GA | WELLCARE | 
| 10032991 | Other | GA | AMERIGROUP | 
| 302375 | Other | GA | WELLCARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LN0000X | Nurse Practitioner - Neonatal | RN060702 (Georgia) | Secondary | 
| 363LP0200X | Nurse Practitioner - Pediatrics | RN060702 (Georgia) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jeanine M Jackson, CNNP Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122 | Jeanine M Jackson, CNNP 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 Ph: (770) 535-3611 | 
| Mrs. Nancy Fletcher Mccall, APRN-BC-CNSPMH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4375 Spainhill Road, Gainesville, GA 30504 Phone: 770-654-4599 | |
| Shelley Charmaine Martin, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501 Phone: 770-536-9864 Fax: 770-297-5025 | |
| Anela D Pearson, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-534-2020 Fax: 770-534-8025 | |
| Terri Penna Kemmerer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501 Phone: 770-536-9864 Fax: 770-297-5025 | |
| Bryan Scott Engel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501 Phone: 770-297-7277 | |
| Laura J Banner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 Phone: 770-219-6520 | |
| Molly Bruce, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1250 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501 Phone: 770-297-7277 |