Anitra L Jackson (NPI# 1497718811, PAC ID# 7113963521) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1497718811 |
| PAC ID by PECOS | 7113963521 |
| Professional Enrollment ID | I20190124001489 |
| Full Name | Anitra L Jackson |
| Organization Legal Name | HOLISTIC HEALTH MANAGEMENT, LLC |
| Address |
1650 Honey Creek Cmns Se Conyers GA 30013-5831 |
| Phone Number | 7709222556 |
| Gender | F |
| Credential | NP |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5395081285 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1650 Honey Creek Cmns Se, Conyers, GA 30013-5831 | 7709222556 | HOLISTIC HEALTH MANAGEMENT, LLC |
| Organization Legal Name | HOLISTIC HEALTH MANAGEMENT, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jameelah J Gater | Family Medicine | Holistic Health Management, LLC | 1650 Honey Creek Cmns Se, Conyers, GA 30013-5831 |
| Street Address |
1650 HONEY CREEK CMNS SE |
| City | CONYERS |
| State | GA |
| Zip | 30013-5831 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jameelah J Gater | Family Medicine | Holistic Health Management, LLC | 1650 Honey Creek Cmns Se, Conyers, GA 30013-5831 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roopal A Desa | Internal Medicine | 3641 Ga Hwy 20 Se, Suite A, Conyers, GA 30013 | |
| Ndidi E Madu | Family Medicine | 1815 Hwy 138 Se, Suite 800, Conyers, GA 30013 | |
| Danielle Waters | Nurse Practitioner | 1810 Hwy 20 Se, Suite 172, Conyers, GA 30013 | |
| Douglas Robert Slavin | Clinical Psychologist | 1807 Over Lake Drive Se, Suite F, Conyers, GA 30013-1709 | |
| Linda B Hagan | Clinical Social Worker | Hagan Ziegler and Associates PC | 1814 Lakefield Se Ct, Suite A, Conyers, GA 30013-1776 |
| Kaushik Amin | Internal Medicine | 2035 Flat Shoals Serd, Conyers, GA 30013-1809 | |
| Marlyn Wallace | Nurse Practitioner | Atlanta Plus Urgent Care | 2121 Salem Rd Se, Conyers, GA 30013-1823 |
| Savonia Grant | Nurse Practitioner | Atlanta Plus Urgent Care | 2121 Salem Rd Se, Conyers, GA 30013-1823 |
| Michael Cantrell | Podiatry | 2202 Salem Rd Se, Suite B, Conyers, GA 30013-1843 | |
| Farhana Quasem | Internal Medicine | Eastside Internal Medicine, LLC | 2080 Eastside Dr, Suite A, Conyers, GA 30013-1953 |
| Find all physicians in zip 30013 | |||
| City | CONYERS |
| Zip Code | 30013 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CONYERS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Anitra L Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.