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

Yolande Jackson, NP

Individual provider Family Nurse Practitioner · NPI 1164273173

Yolande Jackson, NP is a Nurse Practitioner in Conyers, Georgia. Qualified in 2022, 4 years ago. Practices with Piedmont Providers LLC, a 518-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2024
Specialties on file
2
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

1301 Sigman Rd NE
Conyers, GA 30012-3812
Phone: (770) 278-0154
Fax: (770) 278-0158
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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 131269 (GA)
Neurology Physician Taxonomy 2084N0400X · Licence 131269 (GA)

Record details

NPI number1164273173
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 28, 2024
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024
Mailing address2060 Evergreen Dr Se, Conyers, GA 30013-6417

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Piedmont Providers Llc — 518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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