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Lavesha Jackson

NPI 1669326021 · on the registry since 2026 · sole proprietor

Practice

Address
341 Tennessee Rd
Gainestown, AL 36540
Phone
(251) 387-9551

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-23

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