VIVIAN ELIZABETH JACKSON
NPI 1336756600
Nurse Practitioner in Birmingham, AL

Q: What is Vivian Jackson's NPI number?

The NPI number for Vivian Jackson is 1336756600. It was assigned to this individual provider in the NPPES registry on September 30, 2020.

Q: What is Vivian Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Vivian Jackson was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 30, 2020

1216 25TH ST N, BIRMINGHAM, AL 35234(205) 252-2994(205) 254-6076 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Vivian Elizabeth Jackson NPPES

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

VIVIAN ELIZABETH JACKSON (NPI 1336756600) is an individual nurse practitioner in Birmingham, Alabama, licensed in Alabama (1-062778) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1336756600

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameVIVIAN ELIZABETH JACKSON

Location Address1216 25TH ST NBirmingham, AL 35234-3139

Mailing AddressPo Box 2722Jasper, AL 35502-2722 · (205) 215-3761

Phone(205) 252-2994

Fax(205) 254-6076

Sole ProprietorNo

Enumeration DateSeptember 30, 2020

NPPES CertifiedSeptember 30, 2020

✔ NPI 1336756600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AL · 1-062778

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1216 25TH ST N, Birmingham, AL 35234

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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 Vivian Jackson's NPI number?

The NPI number for Vivian Jackson is 1336756600. It was assigned to this individual provider in the NPPES registry on September 30, 2020.

Where is Vivian Jackson located?

Vivian Jackson practices at 1216 25th St N, Birmingham, AL 35234. The listed phone number is (205) 252-2994.

What is Vivian Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Vivian Jackson was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.