NPI 1417882200

Nakisa J Jackson

Practitioner Licensed Practical Nurse Montgomery, AL

Practice location

Address: 300 Twining St Bldg 760, Montgomery, AL 36112-6027
Phone: (334) 953-0199
Mailing address: 1831 Cotton Blossom Way, Prattville, AL 36067-6631

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 2-065789 (AL)

Other Licensed Practical Nurse providers in Alabama →

Registry record

NPI: 1417882200
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2026
Record last updated: 15 Jun 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.