Nerissa Jackson, PA-C

Physician Assistant · Flowery Branch, GA

Individual Active NPI

NPI number 1144367749

Practice location

7386 Friendship Springs Blvd Ste J
Flowery Branch, GA 30542-5548
Phone
(470) 451-0646
Fax
(470) 451-0647

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NPI record

NPI
1144367749
Entity type
Individual (Type 1)
Enumeration date
January 31, 2007
Last updated
June 11, 2025
Certified
May 25, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 7277 GA
Physician Assistant 363A00000X PA030340 DC
Physician Assistant 363A00000X 013802 NY

Mailing address

PO Box 1253
Snellville, GA 30078-1253
Phone
(315) 403-4961

About Nerissa Jackson

Nerissa Jackson, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 7386 Friendship Springs Blvd Ste J, Flowery Branch, GA 30542-5548. The NPI number 1144367749 was assigned on January 31, 2007 and the record was last updated on June 11, 2025.

Nerissa Jackson lists 3 licenses in the registry: #7277 (GA) for Physician Assistant; #PA030340 (DC) for Physician Assistant; #013802 (NY) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nerissa Jackson, PA-C?

The NPI number is 1144367749.

What is the phone number of Nerissa Jackson?

The phone number listed for the practice location is (470) 451-0646.

Where is Nerissa Jackson located?

7386 Friendship Springs Blvd Ste J, Flowery Branch, GA 30542-5548.

What is the taxonomy code for Nerissa Jackson?

The primary taxonomy code is 363A00000X – Physician Assistant; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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