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

Individual provider Pediatric Nurse Practitioner · NPI 1568126118

Anjelica Jefferson, CPNP-AC is a Pediatric Nurse Practitioner in Gainesville, Georgia. Works from 3 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
Specialties on file
4
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Practice location Address checks out

743 Spring St NE
Gainesville, GA 30501-3715
Phone: (770) 535-3611
Fax: (770) 535-7092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 550 Peachtree St Ne, Atlanta, GA 30308-2212 — (404) 686-4411
  • 1400 River Place, Braselton, GA 30517-5600 — (770) 535-3611

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN-NP230248 (GA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence RN230248
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence RN230248 (GA)
Critical Care Pediatric Nurse Practitioner Taxonomy 363LP0222X · Licence RN230248 (GA)

Record details

NPI number1568126118
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-AC
Sole proprietorNo
NPI enumeratedOctober 28, 2021
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

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