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

Nancy R Jackson-Patterson, NURSEPRACTITIONER

Individual provider Primary Care Nurse Practitioner · NPI 1366043887

Nancy R Jackson-Patterson, NURSEPRACTITIONER is a Primary Care Nurse Practitioner in Stone Mountain, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2020

Practice location Address checks out

6211 Magnolia Rdg
Stone Mountain, GA 30087-6070
Phone: (770) 298-0961
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence RN177419 (GA)

Record details

NPI number1366043887
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedNovember 2, 2020
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

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