Vickie Lynne Jackson

NPI #1942699566 in Elkmont, Alabama

Provider Information

NPI Number: 1942699566
Entity Type: Individual
Name: Vickie Lynne Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse - Addiction (Substance Use Disorder)
Enumeration Date: Jan 20, 2015
Last Updated: Jan 20, 2015

Practice Location

Address: 29495 COPPERHEAD LN
City: Elkmont
State: Alabama
ZIP Code: 35620-5931
Phone: (256) 732-4452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	163WA0400X	Primary

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