NPI 1003057621

Kierney Elizabeth Jackson, PA

Practitioner Physician Assistant Gainesville, GA

Practice location

Address: 200 S Enota Dr NE STE 360, Gainesville, GA 30501-3466
Phone: (770) 219-4000
Mailing address: PO Box 742616, Atlanta, GA 30374-2616

Registered specialties (3)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 7782 (GA)

Other Physician Assistant providers in Georgia →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1397 (SC)

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0010-02288 (NC)

Registry record

NPI: 1003057621
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Mar 2009
Record last updated: 25 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.