Jackson, Cerra Jordan

Jackson, Cerra Jordan is an individual health care provider with primary practice located at 5710 Watermelon Road, Suite 600 , Northport AL 35473. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty.

Contact Information

Primary practice address
5710 Watermelon Road, Suite 600 Northport AL 35473
Phone:
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1-143406 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X 1-143406 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 1-143406 Alabama

Profile Details

NPI number 1316585219
LBN Legal business name Jackson, Cerra Jordan
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2019
Last updated May 21st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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