ALYSIA DIANE JACKSON

BIRMINGHAM, AL
NPI1841707601
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AL  1-143723)
Enumeration Date2018-01-02
Last Update Date2018-01-02
Business Address
ALYSIA DIANE JACKSON CRNP
1020 26TH ST S
BIRMINGHAM, AL 35205-2412
Phone number: 205-332-3155
Mailing Address
ALYSIA DIANE JACKSON CRNP
116 SPRING ST
CALERA, AL 35040-4971
Phone number: 205-482-7480
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