Lookup NPI Numbers from the NPI Registry
NPI Profile for CERRA J JACKSON in ATHENS, AL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Family Health |
364SF0001X | 89 | Certified Clinical Nurse Specialist | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI Number | 1316585219 |
|
| Status | Active | |
| Credentials | CRNP (Certified Registered Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 12/11/2019 | |
| Last updated | 11/13/2025 - About 7 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CERRA J JACKSON
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CERRA J JACKSON, CRNP