# SAMUEL HOWARD JACKSON JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1497445811
- **Gender:** Man
- **Credential:** CRNP-FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NX0100X | Occupational Health Chiropractor | 111NX0100X | AL | Yes |

## Other

- **Enumeration date:** 05/09/2023
- **Last updated:** 05/09/2023