MEDICARE: JUBRENZA RENAE JACKSON APC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	APC010813	GA

General Provider Information

NPI Number	:	1720911191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUBRENZA RENAE JACKSON APC

Provider Business Mailing Address
First Line	:	2954 WARDLAW LN
Second Line	:
City	:	BUFORD
State	:	GA
Zip	:	30519-3828
Country	:	US
Telephone Number	:	404-981-4415
Fax Number	:

Provider Business Practice Location Address
First Line	:	2954 WARDLAW LN
Second Line	:
City	:	BUFORD
State	:	GA
Zip	:	30519-3828
Country	:	US
Telephone Number	:	404-981-4415
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

Similar Medicare Providers

1831024595 — ALLISON LEE WALL FNP-C
Practice Location Address:

2989 W ROCK QUARRY RD
BUFORD, GA
30519-4118

Practice Phone: 770-932-4753
Practice Fax:

1821794157 — ROYALE SCHOEPF
Practice Location Address:

2675 MALL OF GEORGIA BLVD
BUFORD, GA
30519-8782

Practice Phone: 770-233-7684
Practice Fax:

1114504727 — AMARIS NICOLE GEISLER BS, MD
Practice Location Address:

2828 BUFORD DR STE 100
BUFORD, GA
30519-8142

Practice Phone: 404-355-5484
Practice Fax:

1174457212 — SANGMI NOH
Practice Location Address:

2889 OGDEN TRL
BUFORD, GA
30519-7260

Practice Phone: 470-938-5685
Practice Fax: 470-938-5685

1578497541 — RENE BRYANT MORALES ALARCON DDS
Practice Location Address:

2725 HAMILTON MILL RD STE 700
BUFORD, GA
30519-6010

Practice Phone: 678-788-6737
Practice Fax:

1689107906 — DEIRDRE GUEST LMHC, LPC
Practice Location Address:

2775 IVY HILL DR
BUFORD, GA
30519-7922

Practice Phone: 718-971-4889
Practice Fax:

Directions to “ JUBRENZA RENAE JACKSON APC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.