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Individual

MANDI JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1851 N MCKENZIE ST STE 106, FOLEY, AL 36535-4704
(251) 943-1117
(251) 943-1183
Mailing address
1851 N MCKENZIE ST STE 106, FOLEY, AL 36535-4704
(251) 943-1117

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-136796
AL
363LF0000X
Family Nurse Practitioner
11024768
FL

Other

Enumeration date
02/14/2023
Last updated
01/29/2024
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