NPI 1023317666

Jackson Hospital and Clinic INC.

Organisation Family Medicine Physician Montgomery, AL

Practice location

Address: 1801 Pine Street Suite 103, Montgomery, AL 36106-1160
Phone: (334) 293-8888
Fax: (334) 293-8154
Mailing address: 1722 Pine St STE 804, Montgomery, AL 36106-1108

Authorised official

Name: Kelin Penney
Title: Administrator
Phone: (334) 240-2335

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Alabama →

Registry record

NPI: 1023317666
Entity type: Organization
NPI issued: 22 Mar 2011
Record last updated: 9 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.