Jackson, Vickie Lynne
Jackson, Vickie Lynne is an individual health care provider with primary practice located at 29495 Copperhead Ln , Elkmont AL 35620-5931. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jackson, Vickie Lynne can be contacted via phone (256) 732-4452.Contact Information
Primary practice address
29495 Copperhead Ln
Elkmont AL 35620-5931
Phone: (256) 732-4452
Fax: (256) 732-4430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | 1-067105 | Alabama |
Profile Details
| NPI number | 1942699566 |
|---|---|
| LBN Legal business name | Jackson, Vickie Lynne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2015 |
| Last updated | Jan 20th, 2015 - about 11 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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