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Susie Bernice Jackson
Home Health Aide in Deatsville, Alabama
NPI 1194350579

Susie Bernice Jackson is a Home Health Aide based in Deatsville, AL. Susie Bernice Jackson practices in Deatsville, AL. The NPI Number for Susie Bernice Jackson is 1194350579 and holds a License No. 3251 (Alabama).

The current practice location address for Susie Bernice Jackson is 41 Copper Ridge Ct, Deatsville, AL and can be reached out via phone at 334-290-8131.

Location: 41 Copper Ridge Ct, Deatsville, AL, 36022-3242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194350579
Provider Name
Susie Bernice Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
41 Copper Ridge Ct, Deatsville, AL, 36022-3242
Phone Number
334-290-8131
Fax Number
Provider Enumeration Date
03/06/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3251 01 AL DEPARTMENT OF MENTAL HEALTH
institution
Provider Business Practice Location Address Details
Address
41 Copper Ridge Ct
City
Deatsville
State
Alabama
Zip
36022-3242
Phone Number
334-290-8131
Fax Number
person
Provider Business Mailing Address Details
Address
41 Copper Ridge Ct
City
Deatsville
State
Alabama
Zip
36022-3242
Phone Number
334-290-8131
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
3251 (Alabama)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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