Individual
ANITA MICHELLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5273 HIGHWAY 51, WILSONVILLE, AL 35186-6309
(205) 356-2054
Mailing address
5273 HIGHWAY 51, WILSONVILLE, AL 35186-6309
(205) 356-2054
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2251
AL
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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