NPI 1467721829

Clissie Terersa Jackson, HOMECARE

Practitioner Nurse's Aide Birmingham, AL

Practice location

Address: 208 74th St N, Birmingham, AL 35206-4261
Phone: (313) 358-0035
Fax: (186) 665-9907

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 119405B (MO)

Other Nurse's Aide providers in Alabama →

Registry record

NPI: 1467721829
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Dec 2011
Record last updated: 14 Dec 2011

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.