Susie Bernice Jackson

NPI #1194350579 in Deatsville, Alabama

Provider Information

NPI Number: 1194350579
Entity Type: Individual
Name: Susie Bernice Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Home Health Aide
Enumeration Date: Mar 6, 2020
Last Updated: Mar 6, 2020

Practice Location

Address: 41 COPPER RIDGE CT
City: Deatsville
State: Alabama
ZIP Code: 36022-3242
Phone: (334) 290-8131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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