Individual
DR. JESSICA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1717 S COLLEGE ST, AUBURN, AL 36832-5870
(205) 601-4358
(205) 601-4358
Mailing address
9248 CONCORD PARK DR, MONTGOMERY, AL 36117-9301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16871
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16871
PHARMACY LICENSE
AL
Enumeration date
06/03/2017
Last updated
06/03/2017
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