Individual
EMILY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2401 VILLAGE PROFESSIONAL DR S, OPELIKA, AL 36801-4702
(334) 749-8121
(334) 749-6166
Mailing address
2401 VILLAGE PROFESSIONAL DR S, OPELIKA, AL 36801-4702
(334) 749-8121
(334) 749-6166
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
3-001385
AL
Other
Enumeration date
07/06/2017
Last updated
02/15/2024
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