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Vivian Jackson
NPI 1336756600 · on the registry since 2020
Practice
- Address
- 1216 25th St N
Birmingham, AL 35234 - Phone
- (205) 252-2994
- Fax
- (205) 254-6076
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-30
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