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1912595349
GABRIELLE JACKSON
BIRMINGHAM, AL
NPI
1912595349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: TN 182077)
Enumeration Date
2020-12-31
Last Update Date
2023-06-06
Business Address
GABRIELLE JACKSON APRN
1515 6TH AVE S
BIRMINGHAM, AL 35233-1601
Phone number: 205-930-3200
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Mailing Address
GABRIELLE JACKSON APRN
PO BOX 3425
MEMPHIS, TN 38173-0425
Phone number: 901-206-1944
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