Individual
JESSICA LYNN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1701 MAIN AVE SW, CULLMAN, AL 35055
(256) 775-3737
(256) 775-3738
Mailing address
251 JOHNSTON ST SE STE 200, DECATUR, AL 35601-2515
(256) 350-1764
(256) 355-0884
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH6734
AL
Other
Enumeration date
02/21/2013
Last updated
10/23/2019
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