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
Phone: (256) 845-4134
Fax: (256) 845-4709
Website:
Health care specialties
| Specialty | Code | License # | 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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