Christine Ford-Jackson, L.P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN040867 Issued in GA

Practice address

3110 Clifton Springs Rd
#B
Decatur, GA 30034-4600

Phone

(404) 243-9500

Fax

(404) 244-2224

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Christine Jackson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235252297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 CHIMNEY RIDGE CT",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302941446",
            "telephone_number": "404-212-0722",
            "fax_number": "404-212-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 CLIFTON SPRINGS RD",
            "address_2": "#B",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300344600",
            "telephone_number": "404-243-9500",
            "fax_number": "404-244-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD-JACKSON",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "L.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN040867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "JACKSON",
            "prefix": "MRS.",
            "credential": "L.P.N.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emma Byrne Fontenot
• Foot Solutions of Georgia
• Jacqueline Harrison Foote, LMSW
• Karen Charisse Forbes, PA-C
• Khaalida Tahira Forbes, LICSW, PHD
• Felicia Marguerite Ford, MS, ATC
• Kimberly A. Ford, LCSW
• Laquanta Ford, LCSW
• Lasonya Renise Ford, PHARM.D., BCACP
• Sandra Elizabeth Ford, MD

• Licensed Practical Nurse in Decatur, GA
• Providers in Decatur, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.