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Individual

PAMELA JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, RN

Contact information

Practice address
2216 CHAPEL HILL RD, HOOVER, AL 35216-5108
(205) 701-1965
Mailing address
2216 CHAPEL HILL RD, HOOVER, AL 35216-5108

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-158127
AL
163W00000X
Registered Nurse
95283745
CA

Other

Enumeration date
10/20/2023
Last updated
10/20/2023
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