TERESA CLOYEDETTE JACKSON

HUNTSVILLE, AL
NPI1700016300
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: AL  1-037414)
Enumeration Date2009-07-17
Last Update Date2021-08-24
Business Address
Mrs. TERESA CLOYEDETTE JACKSON CRNP
2780 BOB WALLACE AVE SW
HUNTSVILLE, AL 35805-4104
Phone number: 256-533-4626
Mailing Address
Mrs. TERESA CLOYEDETTE JACKSON CRNP
2780 BOB WALLACE AVE SW
HUNTSVILLE, AL 35805-4104
Phone number: 256-533-4626
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