Individual
CHARLEEN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2423 SCHILLINGER RD S STE 103, MOBILE, AL 36695-4142
(251) 660-5950
(251) 660-5949
Mailing address
6701 AIRPORT BLVD STE A101, MOBILE, AL 36608-6767
(251) 378-6209
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F02180605
AL
Other
Enumeration date
03/07/2018
Last updated
02/07/2019
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