Jackson, Lillie
Jackson, Lillie is an sole proprietor health care provider with primary practice located at 4704 Cahaba River Rd # 101D , Birmingham AL 35243-2344. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jackson, Lillie can be contacted via phone (205) 739-2266.Contact Information
Primary practice address
4704 Cahaba River Rd # 101D
Birmingham AL 35243-2344
Phone: (205) 739-2266
Fax: (205) 739-2335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA.1146 | Alabama |
Profile Details
| NPI number | 1881047710 |
|---|---|
| LBN Legal business name | Jackson, Lillie |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2016 |
| Last updated | Dec 31st, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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