Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VICKIE LYNNE JACKSON
ActiveVICKIE LYNNE JACKSON is a Nurse Anesthetist, Certified healthcare provider located in ELKMONT, Alabama. NPI 1942699566 is currently active in the NPPES registry. Verify at CMS.
Nurse Anesthetist, Certified · ELKMONT, AL
Registration Details
- NPI Number
- 1942699566
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 20, 2015 (11.598337877325 yrs)
- Last Updated
- Jan 20, 2015
- License
-
1-067105 (AL)
Practice Information
- Address
-
29495 COPPERHEAD LNELKMONT, AL, 356205931Browse AL providers · Browse ZIP 35620
- Phone
- 2567324452
- Fax
- 2567324430
- Primary Specialty
-
Nurse Anesthetist, Certified
163WA0400X
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.