Individual provider · Type 1 NPI
Vivian Elizabeth Jackson
Nurse Practitioner · Birmingham, AL
Practice location
1216 25th St N
Birmingham, AL 35234-3139
Fax (205) 254-6076
Mailing address
PO Box 2722
Jasper, AL 35502-2722
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 1-062778 (AL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1336756600
Vivian Elizabeth Jackson's National Provider Identifier is 1336756600, issued on Sep 30, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Birmingham, AL. The record was last updated on Sep 30, 2020.