DEANNA JACKSON

FORT PAYNE, AL
NPI1952859175
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1090205)
Enumeration Date2016-09-16
Last Update Date2016-09-16
Business Address
-- DEANNA JACKSON
2615 GAULT AVE N
FORT PAYNE, AL 35967-3728
Phone number: 256-845-4134
Mailing Address
-- DEANNA JACKSON
2615 GAULT AVE N
FORT PAYNE, AL 35967-3728
Phone number: 256-845-4134
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