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Individual

PATRICIA JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, CRNP-BC

Contact information

Practice address
63 S COURT SQ, TROY, AL 36081-2609
(334) 372-2162
Mailing address
500 N KNOX ST, TROY, AL 36081-2800
(334) 372-2162

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-128321
AL
363LA2200X
Adult Health Nurse Practitioner
Primary
1-128321
AL

Other

Enumeration date
08/30/2022
Last updated
05/04/2026
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