Individual
JONI VIRGINIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6138 ATLANTA HWY, MONTGOMERY, AL 36117-2800
(334) 273-9464
Mailing address
1540 WINONA AVE, MONTGOMERY, AL 36107-1432
(334) 657-7917
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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