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

Mrs. Kalita Higginbotham Jackson, FNP-C

Individual provider Family Nurse Practitioner · NPI 1679847057

Mrs. Kalita Higginbotham Jackson, FNP-C is a Family Nurse Practitioner in Lawrenceville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2012
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

500 Medical Center Blvd Ste 310
Lawrenceville, GA 30046-3332
Phone: (678) 629-7139
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 RN191958 (GA)

Record details

NPI number1679847057
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedMarch 1, 2012
Last updated in NPPESFebruary 8, 2020
Certification dateFebruary 8, 2020

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