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1700016300
TERESA CLOYEDETTE JACKSON
HUNTSVILLE, AL
NPI
1700016300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AL 1-037414)
Enumeration Date
2009-07-17
Last Update Date
2021-08-24
Business Address
Mrs. TERESA CLOYEDETTE JACKSON CRNP
2780 BOB WALLACE AVE SW
HUNTSVILLE, AL 35805-4104
Phone number: 256-533-4626
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Mailing Address
Mrs. TERESA CLOYEDETTE JACKSON CRNP
2780 BOB WALLACE AVE SW
HUNTSVILLE, AL 35805-4104
Phone number: 256-533-4626
Copy
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