Individual provider · Type 1 NPI
Candice Grace Jackson, NP-C
Family Nurse Practitioner · Montgomery, AL
NPI number
1720722929
Active
Practice location
2001 E South Blvd Ste 101
Montgomery, AL 36116-2463
Mailing address
301 Brown Springs Rd
Montgomery, AL 36117-7005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1-156024 (AL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1720722929
Candice Grace Jackson, NP-C's National Provider Identifier is 1720722929, issued on Apr 24, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Montgomery, AL. The record was last updated on Feb 23, 2026.