Individual
MS. CYNTHIA M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3408 BELTLINE PARK DR N, MOBILE, AL 36617
(251) 287-6146
(251) 287-6154
Mailing address
3408 BELTLINE PARK DR N, MOBILE, AL 36617-1539
(251) 287-6146
(251) 287-6154
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1059384
AL
Other
Enumeration date
06/30/2006
Last updated
07/10/2018
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