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

Mrs. Stephanie D Jackson, RN

Individual provider Case Management Registered Nurse · NPI 1902559784

Mrs. Stephanie D Jackson, RN is a Case Management Registered Nurse in Loganville, Georgia. Licensed in Georgia. Registered with an NPI since 2022.

Licensed in
GA
In the registry since
2022
Specialties on file
14
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

4605 Chestnut Oak St
Loganville, GA 30052-9408
Phone: (423) 227-8576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN210155 (GA)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence RN210155 (GA)
Enterostomal Therapy Registered Nurse Taxonomy 163WE0900X · Licence RN210155 (GA)
Home Health Registered Nurse Taxonomy 163WH0200X · Licence RN (GA)
Community Health Registered Nurse Taxonomy 163WC1500X · Licence RN (GA)
Diabetes Educator Registered Nurse Taxonomy 163WD0400X · Licence RN210155 (GA)
Administrator Registered Nurse Taxonomy 163WA2000X · Licence RN210155 (GA)
Hospice Registered Nurse Taxonomy 163WH1000X · Licence RN (GA)
Infusion Therapy Registered Nurse Taxonomy 163WI0500X · Licence RN (GA)
Nutrition Support Registered Nurse Taxonomy 163WN1003X · Licence RN210155 (GA)
Pain Management Registered Nurse Taxonomy 163WP0000X · Licence RN210155 (GA)
Wound Care Registered Nurse Taxonomy 163WW0000X · Licence RN210155 (GA)
Orthopedic Registered Nurse Taxonomy 163WX0800X · Licence RN210155 (GA)
Ostomy Care Registered Nurse Taxonomy 163WX1500X · Licence RN210155 (GA)

Record details

NPI number1902559784
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedFebruary 1, 2022
Last updated in NPPESFebruary 1, 2022
Certification dateFebruary 1, 2022

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