Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLETTE JACKSON, MD
ActiveCOLETTE JACKSON, MD is a 207WX0110X healthcare provider located in BIRMINGHAM, Alabama. NPI 1174943138 is currently active in the NPPES registry. Verify at CMS.
207WX0110X · BIRMINGHAM, AL
Registration Details
- NPI Number
- 1174943138
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 17, 2014 (12.183308320839 yrs)
- Last Updated
- May 22, 2019
- Licenses
-
52176 (SC)37977 (AL)
Practice Information
- Address
-
1000 19TH ST SBIRMINGHAM, AL, 352054804Browse AL providers · Browse ZIP 35205
- Phone
- 2059300700
- Fax
- 2059309127
- Primary Specialty
-
207WX0110X
207WX0110X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- 207WX0110X
Other 207WX0110X Providers in BIRMINGHAM, AL
| Name | Credential | NPI |
|---|---|---|
| DR. JENNIFER DUDNEY DAVIDSON | M.D. | 1528379716 |
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.