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1821590647
CHARLEEN JACKSON
MOBILE, AL
NPI
1821590647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL f02180605)
Enumeration Date
2018-03-07
Last Update Date
2019-02-07
Business Address
CHARLEEN JACKSON NP
2423 SCHILLINGER RD S STE 103
MOBILE, AL 36695-4142
Phone number: 251-660-5950
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Mailing Address
CHARLEEN JACKSON NP
6701 AIRPORT BLVD STE A101
MOBILE, AL 36608-6767
Phone number: 251-378-6209
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