CHANDA WALLER JACKSON


Address: 550 Peachtree Street, Davis Fischer Bldg, Office 3245a, Atlanta, GA 30308
Phone: 4046867858

CHANDA WALLER JACKSON (NPI# 1245742329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245742329
Entity Type Individual
Full Name CHANDA WALLER JACKSON
Credential ACNP
Practice Address 550 Peachtree Street
Davis Fischer Bldg, Office 3245a
Atlanta
GA 30308
Mailing Address 550 Peachtree Street
Davis Fisher Building, Office 3245a
Atlanta
GA 30308
Practice Telephone 4046867858
Mailing Telephone 4046867858
Enumeration Date 2017-10-30
Last Update Date 2017-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN213894 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers CHANDA JACKSON

NPI Name Taxonomy Address Enumeration
1063440436 Chanda D'riece Jackson Physical Therapist 100 S 2nd Street, Thomas, OK 73669 2006-06-28

Office Location

Street Address 550 PEACHTREE STREET
DAVIS FISCHER BLDG, OFFICE 3245A
City ATLANTA
State GA
Zip Code 30308

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467444570 La'genia Mitchell-smith Podiatrist 550 Peachtree Street, Suite 1960, Atlanta, GA 30308-2225 2005-08-16
1083179493 Thomas Kenneth Martin II Physician Assistant 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 2019-02-10
1376046409 Brian Joseph Sestrich Nurse Practitioner 550 Peachtree Street, Atlanta, GA 30308 2018-03-15
1467979948 Gail Lawrence Snell Nurse Practitioner 550 Peachtree Street, Mot, 4th Floor, Center for Heart Failure Therapy, Atlanta, GA 30308 2017-08-25
1366980617 Alexandre D Miller Nurse Practitioner 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 2017-02-07
1922471630 Kai-tien Ho Nurse Practitioner 550 Peachtree Street, 3245a Emory Center for Critical Care, Atlanta, GA 30308 2015-11-03
1679822787 Kori Williams Physical Therapist 550 Peachtree Street, Atlanta, GA 30308 2012-09-05
1366732638 Patricia Rose Hwang Hospitalist 550 Peachtree Street, Atlanta, GA 30308 2011-04-07
1952632580 Kimberly Dawn Orleck Physician Assistant 550 Peachtree Street, Suite 1600, Atlanta, GA 30308-2208 2010-01-21
1073747465 Evan D Schoenberg Ophthalmology 550 Peachtree Street, Suite 1500, Atlanta, GA 30308-2248 2009-05-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689285165 Grace Mckinnon Cutchin Speech-Language Pathologist 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 2020-08-10
1063033942 Life University Chiropractor 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 2020-05-01
1184254591 Jordan Cohen Specialist 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 2020-01-24
1104463819 Gary Sydney Koech IIi Registered Nurse Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 2019-12-02
1639728207 Shannon Oliver Sullivan Counselor 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 2019-09-06
1477110187 Ariel Alibey Preventive Medicine 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 2019-05-29
1972075497 Laura Mcrae Nurse Practitioner Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 2018-12-21
1265902134 Kyle Brooks Kraft Nurse Practitioner 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 2018-12-04
1396211025 Vita Judkins Pharmacist 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 2018-10-20
1407345911 Caitlin Cundiff Anesthesiology 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 2018-05-09
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457963456 Catelyn Conway Wheeler Nurse Practitioner 970 Gilbert St Se, Atlanta, GA 30316-2509 2020-08-20
1033737754 Meagan Ashley Short Nurse Practitioner 993 Johnson Fy Rd Ne Ste F210, Atlanta, GA 30342-1688 2020-07-09
1538796537 Johnanika Lanya House Nurse Practitioner 77 Collier Rd Nw Ste 2000, Atlanta, GA 30309-1754 2020-03-27
1952938466 Kelsey Claire Jones Nurse Practitioner 1325 Benteen Park Dr Se, Atlanta, GA 30315-4441 2020-03-25
1457986598 Joi Aimee Bell-blanding Nurse Practitioner 318 Parducci Trl, Atlanta, GA 30349-8125 2020-03-09
1932734530 Wellness Rx Medical Services LLC Nurse Practitioner 1379 Plaza Ave Sw, Atlanta, GA 30310-3742 2020-03-04
1366089757 Katherine Elizabeth Mitzel Nurse Practitioner 95 Collier Rd Nw Ste 4055, Atlanta, GA 30309-1749 2019-12-04
1114564754 Mary Twum Arthur Nurse Practitioner 7 Executive Park Dr Ne Apt 2303, Atlanta, GA 30329-2270 2019-12-02
1770127060 Trinetta Gipson Nurse Practitioner 2300 Global Forum Blvd Apt 838, Atlanta, GA 30340-4486 2019-10-30
1053965855 Patrice Munsel Henry Nurse Practitioner 80 Jessie Hill Drive Se, Atlanta, GA 30303 2019-07-30
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Competitor

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City ATLANTA
Zip Code 30308

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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