VANESSA JACKSON

BIRMINGHAM, AL
NPI1487975520
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  2010002394)
Enumeration Date2010-06-11
Last Update Date2020-02-21
Business Address
VANESSA JACKSON CRNP
3700 CAHABA BEACH RD
BIRMINGHAM, AL 35242-5225
Phone number: 052-512-5464
Mailing Address
VANESSA JACKSON CRNP
101 DELIA LN
MARION, AL 36756-3106
Phone number: