Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELICEIA DIONNE JACKSON, M.D.
ActiveFamily Medicine · IRVINGTON, AL
Registration Details
- NPI Number
- 1699937557
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 1, 2008 (17.873614539909 yrs)
- Last Updated
- Mar 31, 2023
- Licenses
-
21663 (MS)46088 (AL)
Practice Information
- Address
-
12701 PADGETT SWITCH RDIRVINGTON, AL, 365444011Browse AL providers · Browse ZIP 36544
- Phone
- 2518242174
- Fax
- 2518242286
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in IRVINGTON, AL
| Name | Credential | NPI |
|---|---|---|
| DR. ALAN JAY SHERMAN | MD | 1952315343 |
| DR. VIENGXAY THOMAS MALAVONG | D.O. | 1508120577 |
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.