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

Mrs. Stephanie Brazeal Jackson, NP

Individual provider Family Nurse Practitioner · NPI 1255512984

Mrs. Stephanie Brazeal Jackson, NP is a Nurse Practitioner in Locust Grove, Georgia. Qualified in 1988, 38 years ago. Practices with Piedmont Hospitalist Physicians LLC, a 497-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
38
Licensed in
GA
In the registry since
2007
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

711 Trestle Rd
Locust Grove, GA 30248-3465
Phone: (770) 914-5934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN071218 (GA)

Record details

NPI number1255512984
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedNovember 21, 2007
Last updated in NPPESJuly 29, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Piedmont Hospitalist Physicians Llc — 497 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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