Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Denise Jackson

Individual provider Prosthetist · NPI 1306330303

Denise Jackson is a Prosthetist in Johns Creek, Georgia. Practices as a sole proprietor. Licensed in Georgia and Indiana.

Licensed in
GA, IN
In the registry since
2018
Specialties on file
2

Practice location Address checks out

11720 Medlock Bridge Rd Ste 155
Johns Creek, GA 30097
Phone: (574) 320-3549
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence CO124581 (GA)
Prosthetist Taxonomy 224P00000X · Licence BC29700281 (IN)

Record details

NPI number1306330303
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 21, 2018
Last updated in NPPESJune 27, 2018

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