VIVIAN ELIZABETH JACKSON

BIRMINGHAM, AL
NPI1336756600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AL  1-062778)
Enumeration Date2020-09-30
Last Update Date2020-09-30
Business Address
VIVIAN ELIZABETH JACKSON
1216 25TH ST N
BIRMINGHAM, AL 35234-3139
Phone number: 205-252-2994
Mailing Address
VIVIAN ELIZABETH JACKSON
PO BOX 2722
JASPER, AL 35502-2722
Phone number: 205-215-3761
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