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Individual

DR. SHEENA DAMITA JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1601
(205) 939-7000
Mailing address
819 HAMPTON RD, BIRMINGHAM, AL 35221-3034
(205) 305-8072

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-109749
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/25/2019
Last updated
03/08/2019
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