Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANTWAIN JACKSON
ActiveMR. ANTWAIN JACKSON is a Day Training/Habilitation healthcare provider located in DECATUR, Alabama. NPI 1063096147 is currently active in the NPPES registry. Verify at CMS.
Day Training/Habilitation · DECATUR, AL
Registration Details
- NPI Number
- 1063096147
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2021 (5.2999235718386 yrs)
- Last Updated
- May 5, 2021
Practice Information
- Address
-
1711 10TH AVE SEDECATUR, AL, 356014915Browse AL providers · Browse ZIP 35601
- Phone
- 2562260150
- Primary Specialty
-
Day Training/Habilitation
373H00000X
- Additional Specialty
- Day Training/Habilitation
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.