Individual provider · Type 1 NPI
Joni Virginia Jackson
Prosthetic/Orthotic Supplier · Montgomery, AL
Practice location
6138 Atlanta Hwy
Montgomery, AL 36117-2800
Mailing address
1540 Winona Ave
Montgomery, AL 36107-1432
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Other prosthetic/orthotic supplier providers in Montgomery
About NPI 1124981824
Joni Virginia Jackson's National Provider Identifier is 1124981824, issued on Dec 8, 2025. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Montgomery, AL. The record was last updated on Dec 8, 2025.