SearchAlabama1041C0700X

Ambrea Jackson

NPI 1700755816 · on the registry since 2025 · sole proprietor

Practice

Address
302 Dans Xing
Madison, AL 35757
Phone
(580) 917-3332

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-05

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