Search › Alabama › 374U00000X
Susie Jackson
NPI 1194350579 · on the registry since 2020
Practice
- Address
- 41 Copper Ridge Ct
Deatsville, AL 36022 - Phone
- (334) 290-8131
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-03-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama