Jackson, Deanna

Jackson, Deanna is an sole proprietor health care provider with primary practice located at 2615 Gault Ave N , Fort Payne AL 35967-3728. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson, Deanna can be contacted via phone (256) 845-4134.

Contact Information

Primary practice address
2615 Gault Ave N Fort Payne AL 35967-3728
Fax: (256) 845-4709
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1090205 Alabama

Profile Details

NPI number 1952859175
LBN Legal business name Jackson, Deanna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2016
Last updated Sep 16th, 2016 - about 8 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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