MELINDA LOUISE JACKSON

MONTGOMERY, AL
NPI1225673445
Former NameMELINDA LOUISE ZUK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: AL  1-117801)
Additional Taxonomies163W00000X Registered Nurse
(Licence: AL  1-117801)
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: AL  1-117801)
Enumeration Date2019-11-12
Last Update Date2023-01-19
Business Address
MELINDA LOUISE JACKSON CRNP
400 TAYLOR RD
MONTGOMERY, AL 36117-3511
Phone number: 205-335-7683
Mailing Address
MELINDA LOUISE JACKSON CRNP
400 TAYLOR RD
MONTGOMERY, AL 36117-3511
Phone number: 205-335-7683