NPI 1265070445
Jaleesa Jackson
Practice location
- Address
- 228 Selma Ave, Selma, AL 36701-5825
- Phone
- (334) 877-1490
- Fax
- (334) 877-1491
- Mailing address
- 101 Park Pl, Selma, AL 36701-6764
Registered specialties
Health Educator
Primary
Registry record
- NPI
- 1265070445
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Dec 2019
- Record last updated
- 18 Dec 2019
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.