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Individual

DEBORAH JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2900 E UNIVERSITY DR STE 110, AUBURN, AL 36830-7729
(334) 502-2440
(334) 502-2460
Mailing address
2900 E UNIVERSITY DR STE 110, AUBURN, AL 36830-7729
(334) 502-2440
(334) 502-2460

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0916577
AL

Other

Enumeration date
12/07/2016
Last updated
12/07/2016
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