Search › Alabama › 103TC1900X
Jacqueline Jackson
NPI 1417733163 · on the registry since 2023 · sole proprietor
Practice
- Address
- 3100 Lebron Rd
3100 Lebron Rd
Montgomery, AL 36106 - Phone
- (334) 235-2274
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-07
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