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Contact Information

MELINDA L JACKSON, CRNP
400 TAYLOR RD
MONTGOMERY, AL36117-3511
 Phone: 205-335-7683
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal

363LN0000X 50 Nurse Practitioner
 

Neonatal, Critical Care

363LN0005X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MELINDA L JACKSON · (Female)

NPI Number 1225673445
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 11/12/2019
Last updated 01/19/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 1-117801
  • Other NA NA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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