Individual
MRS. JACKIE JEAN JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPSGT
Contact information
Practice address
183 GRIFFIN SHOALS RD, DADEVILLE, AL 36853-3106
(256) 825-9424
(256) 825-2078
Mailing address
183 GRIFFIN SHOALS RD, DADEVILLE, AL 36853-3106
(256) 825-9424
(256) 825-2078
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
729
AL
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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