Individual
TOKEYSHA JOHNSON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
COMMUNITY CARE BUILDING 908 20TH STREET, BIRMINGHAM, AL 35294-1047
(205) 934-1917
Mailing address
709 GRISWOLD RD, FAIRFIELD, AL 35064-2808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-108932
AL
363LP2300X
Primary Care Nurse Practitioner
Primary
1-108932
AL
Other
Enumeration date
11/10/2008
Last updated
06/04/2025
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