Individual
SEAN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2000 6TH AVE S, BIRMINGHAM, AL 35294-2521
(205) 934-4011
Mailing address
12 OFFICE PARK CIR, MOUNTAIN BRK, AL 35223-2521
(205) 933-0320
(205) 933-6400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-148478
AL
Other
Enumeration date
10/09/2020
Last updated
02/27/2025
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