Individual
MRS. ERICA J JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 E BROAD ST STE 8A, EUFAULA, AL 36027-2024
(334) 232-9063
(334) 232-4724
Mailing address
110 E BROAD ST STE 8A, EUFAULA, AL 36027-2024
(334) 232-9063
(334) 232-4724
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QV0200X
VA Clinic/Center
—
—
Other
Enumeration date
07/06/2023
Last updated
07/25/2023
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