Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHIRLEY MCMILLAN JACKSON
Active Sole ProprietorSHIRLEY MCMILLAN JACKSON is a Emotionally Disturbed Children Residential Treatment healthcare provider located in MOBILE, Alabama. NPI 1063838878 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · MOBILE, AL
Registration Details
- NPI Number
- 1063838878
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 17, 2014 (12.227295957553 yrs)
- Last Updated
- Mar 17, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
2117 LUCKNER CTMOBILE, AL, 366182618Browse AL providers · Browse ZIP 36618
- Phone
- 2514238197
- Fax
- 2514524797
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Other Emotionally Disturbed Children Residential Treatment Providers in MOBILE, AL
| Name | Credential | NPI |
|---|---|---|
| MS. ERICKA LETOINDIA BETTON | — | 1851813422 |
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.