Individual
KRISTA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-1000
Mailing address
303 KNOTTY WALLS RD SE, OWENS CROSS ROADS, AL 35763-9038
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F06250801
AL
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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