MS. BRENDA LEE JACKSON RN - NPI 1215372644 - Registered Nurse in Monroeville, AL

Q: What is Brenda Jackson's NPI number?

The NPI number for Brenda Jackson is 1215372644. It was assigned to this individual provider in the NPPES registry on April 29, 2013.

Q: What is Brenda Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Q: When was this NPI record last updated?

The NPPES record for Brenda Jackson was last updated on April 29, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Brenda Lee Jackson Rn NPPES

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

MS. BRENDA LEE JACKSON RN (NPI 1215372644) is an individual psychiatric/mental health provider in Monroeville, Alabama, licensed in Alabama (1-138402) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1215372644

Entity TypeIndividualFemale

Primary Taxonomy163WP0808X

Provider Legal NameMS. BRENDA LEE JACKSONCredential: RN

Location Address530 HORNADY DRMonroeville, AL 36460-8658

Mailing Address530 Hornady DrMonroeville, AL 36460-8658 · (261) 575-4837 · Fax (251) 575-5266

Phone(261) 575-4837

Fax(251) 575-5266

Sole ProprietorYes

Enumeration DateApril 29, 2013

✔ NPI 1215372644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers

Taxonomy Code163WP0808X

License✔ Licensed in AL · 1-138402

530 HORNADY DR, Monroeville, AL 36460

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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. WANDA WHITE RN/COUNSELOR

Counselor (Mental Health)