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Alricka Jolynn Jackson

NPI Registration Record

Provider / OrganizationNPIDate Certified
ALRICKA JOLYNN JACKSON12256642122020-03-21

Alricka Jolynn Jackson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1225664212. Registration indicates Alricka Jolynn Jackson is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Adult/Geriatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) (Allopathic & Osteopathic Physicians, General Practice) (General Practice, ) (Primary Care/Family Planning/APRN/PA, ) (General Practice, Allopathic & Osteopathic Physicians)

Entity TypeIndividual
Provider Name Alricka Jolynn Jackson M.D.
Practice Office Address601 E 66TH ST
SAVANNAH, GA US
Practice Office Telephone9126620088
Mailing Address142 BERNHARD RD
FAYETTEVILLE, GA 302153074 US
HPT Codes
CodePractice
License No
State
390200000X
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
208D00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Allopathic & Osteopathic Physicians
General PracticeAccess to Pediatric Primary Care Providers
Allopathic & Osteopathic Physicians
General Practice
Allopathic & Osteopathic Physicians
General Practice
General Practice

Primary Care/Family Planning/APRN/PA

General Practice
Allopathic & Osteopathic Physicians
98878
GA
OPI Codes
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