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1104683846
JENNIFER LEANN LACKEY
BIRMINGHAM, AL
NPI
1104683846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AL 1-148486)
Enumeration Date
2024-02-29
Last Update Date
2024-04-10
Business Address
JENNIFER LEANN LACKEY
1802 6TH AVE S
BIRMINGHAM, AL 35233-1932
Phone number: 205-934-3411
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Mailing Address
JENNIFER LEANN LACKEY
PO BOX 55310
BIRMINGHAM, AL 35255-5310
Phone number: 057-319-7012
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