MRS. Jackie Jean Jennings, RPSGT

NPI #1790796712 in Dadeville, Alabama

Provider Information

NPI Number: 1790796712
Entity Type: Individual
Name: MRS. Jackie Jean Jennings, RPSGT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Credential: RPSGT
Enumeration Date: Aug 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 183 GRIFFIN SHOALS RD
City: Dadeville
State: Alabama
ZIP Code: 36853-3106
Phone: (256) 825-9424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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