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1487975520
VANESSA JACKSON
BIRMINGHAM, AL
NPI
1487975520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 2010002394)
Enumeration Date
2010-06-11
Last Update Date
2020-02-21
Business Address
VANESSA JACKSON CRNP
3700 CAHABA BEACH RD
BIRMINGHAM, AL 35242-5225
Phone number: 052-512-5464
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Mailing Address
VANESSA JACKSON CRNP
101 DELIA LN
MARION, AL 36756-3106
Phone number:
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