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SUSIE BERNICE JACKSON
NPI 1194350579
Home Health Aide in Deatsville, AL

Active since March 06, 2020
41 COPPER RIDGE CT, DEATSVILLE, AL 36022(334) 290-8131 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susie Bernice Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSIE BERNICE JACKSON (NPI 1194350579) is an individual home health aide in Deatsville, Alabama, licensed in Alabama (3251) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1194350579
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameSUSIE BERNICE JACKSON
Location Address41 COPPER RIDGE CTDeatsville, AL 36022-3242
Mailing Address41 Copper Ridge CtDeatsville, AL 36022-3242 · (334) 290-8131
Phone(334) 290-8131
Sole ProprietorNo
Enumeration DateMarch 6, 2020
NPPES CertifiedMarch 6, 2020
✔ NPI 1194350579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
License✔ Licensed in AL · 3251
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.
41 COPPER RIDGE CT, Deatsville, AL 36022
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Other Identifiers 1

Other3251AL · Department Of Mental Health

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susie Jackson's NPI number?

The NPI number for Susie Jackson is 1194350579. It was assigned to this individual provider in the NPPES registry on March 6, 2020.

Where is Susie Jackson located?

Susie Jackson practices at 41 Copper Ridge Ct, Deatsville, AL 36022. The listed phone number is (334) 290-8131.

What is Susie Jackson's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Susie Jackson was last updated on March 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.