NPI 1124981824

Joni Virginia Jackson

Practitioner Prosthetic/Orthotic Supplier Montgomery, AL

Practice location

Address: 6138 Atlanta Hwy, Montgomery, AL 36117-2800
Phone: (334) 273-9464
Mailing address: 1540 Winona Ave, Montgomery, AL 36107-1432

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1124981824
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Dec 2025
Record last updated: 8 Dec 2025

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.