Individual provider · Type 1 NPI
Sheena Damita Jackson, NP-C
Adult Health Nurse Practitioner · Birmingham, AL
NPI number
1902360787
Active
Practice location
810 Saint Vincents Dr
Birmingham, AL 35205-1601
Mailing address
819 Hampton Rd
Birmingham, AL 35221-3034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 1-109749 (AL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1902360787
Sheena Damita Jackson, NP-C's National Provider Identifier is 1902360787, issued on Jan 25, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Birmingham, AL. The record was last updated on Mar 8, 2019.