Individual
MRS. JULIA STEELE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3610 SPRINGHILL MEMORIAL DR N, MOBILE, AL 36608-1162
(251) 410-3600
Mailing address
3610 SPRINGHILL MEMORIAL DR N, MOBILE, AL 36608-1162
(251) 621-6732
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA224
AL
363AM0700X
Medical Physician Assistant
PA 9101111
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941269
—
AL
Enumeration date
08/03/2006
Last updated
01/16/2019
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