MEDICARE: MISS MICHELE NATESHA JACKSON RN, BSN

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1740122159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MICHELE NATESHA JACKSON RN, BSN

Provider Business Mailing Address
First Line	:	3875 UNION RD SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-1517
Country	:	US
Telephone Number	:	404-616-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3875 UNION RD SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-1517
Country	:	US
Telephone Number	:	404-616-1000
Fax Number	:

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

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

Similar Medicare Providers

1679738447 — DR. MARK E SKILLAN M.D.
Practice Location Address:

102 WAKEFIELD DR NE
ATLANTA, GA
30309-1517

Practice Phone: 404-367-9985
Practice Fax:

1528501897 — SHERRIE GILBERT
Practice Location Address:

2835 TEE RD SW
ATLANTA, GA
30311-1517

Practice Phone: 770-253-1721
Practice Fax:

1326518945 — SHARON EMANCIA JOSEPH NURSE PRACTITIONER
Practice Location Address:

1517 WHITEHEAD BLUFF NW
ATLANTA, GA
30318

Practice Phone: 954-699-9086
Practice Fax:

1831050715 — LOVIEROSE HEALTHCARE LLC
Practice Location Address:

811 JUNIPER ST NE APT 1517
ATLANTA, GA
30308-2162

Practice Phone: 470-985-7900
Practice Fax:

1376485862 — BRIDGE HEALTH & WELLNESS
Practice Location Address:

1800 PHOENIX BLVD , SUITS 128-24
ATLANTA, GA
30349-5593

Practice Phone: 401-684-1267
Practice Fax: 470-275-0632

1437805488 — ERICA RENEE MCCOY
Practice Location Address:

3795 THAMES RD
ATLANTA, GA
30349-1511

Practice Phone: 678-799-5257
Practice Fax:

Directions to “ MISS MICHELE NATESHA JACKSON RN, BSN” 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.