Individual
JUYOUNG JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
513 BROOKWOOD BLVD STE 500, BIRMINGHAM, AL 35209-7817
(205) 263-0093
Mailing address
513 BROOKWOOD BLVD STE 500, BIRMINGHAM, AL 35209-7817
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-143515
AL
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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