Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ancelle Mae Jackson, APRN

Individual provider Nurse Practitioner · NPI 1477027373

Ancelle Mae Jackson, APRN is a Nurse Practitioner in Bonaire, Georgia. Qualified in 2018, 8 years ago. Practices with Allcare Ga PC, a 36-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
8
Licensed in
FL, GA
In the registry since
2019
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

774 Highway 96
Bonaire, GA 31005-3300
Phone: (478) 988-5711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN300851 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence 11000926 (FL)

Record details

NPI number1477027373
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJanuary 14, 2019
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing address1428 Ridge Brook Trl, Duluth, GA 30096-6810

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Allcare Ga Pc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bonaire