VICKIE LYNNE JACKSON
NPI 1942699566
Registered Nurse - Addiction (Substance Use Disorder) in Elkmont, AL

Q: What is Vickie Jackson's NPI number?

The NPI number for Vickie Jackson is 1942699566. It was assigned to this individual provider in the NPPES registry on January 20, 2015.

Q: What is Vickie Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.

Q: When was this NPI record last updated?

The NPPES record for Vickie Jackson was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 January 20, 2015

29495 COPPERHEAD LN, ELKMONT, AL 35620(256) 732-4452(256) 732-4430 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Vickie Lynne Jackson NPPES

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

VICKIE LYNNE JACKSON (NPI 1942699566) is an individual addiction (substance use disorder) provider in Elkmont, Alabama, licensed in Alabama (1-067105) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1942699566

Entity TypeIndividualFemale

Primary Taxonomy163WA0400X

Provider Legal NameVICKIE LYNNE JACKSON

Location Address29495 COPPERHEAD LNElkmont, AL 35620-5931

Mailing Address29495 Copperhead LnElkmont, AL 35620-5931 · (256) 732-4452 · Fax (256) 732-4430

Phone(256) 732-4452

Fax(256) 732-4430

Sole ProprietorNo

Enumeration DateJanuary 20, 2015

✔ NPI 1942699566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers

Taxonomy Code163WA0400X

License✔ Licensed in AL · 1-067105

29495 COPPERHEAD LN, Elkmont, AL 35620

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Other Providers at the Same Location NPPES 3

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

THE PINNACLE SCHOOLS, INC

Community/Behavioral Health

29495 COPPERHEAD LN
ELKMONT, AL 35620

Limestone County (256) 518-9998

ANDRES RAFAEL VEGA RAMOS MS

Psychologist

29495 COPPERHEAD LN
ELKMONT, AL 35620

Limestone County (787) 205-2300

THE PINNACLE SCHOOLS, INC

Rehabilitation, Substance Use Disorder Unit

29495 COPPERHEAD LN
ELKMONT, AL 35620

Limestone County (256) 518-9998

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 Vickie Jackson's NPI number?

The NPI number for Vickie Jackson is 1942699566. It was assigned to this individual provider in the NPPES registry on January 20, 2015.

Where is Vickie Jackson located?

Vickie Jackson practices at 29495 Copperhead Ln, Elkmont, AL 35620. The listed phone number is (256) 732-4452.

What is Vickie Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.

When was this NPI record last updated?

The NPPES record for Vickie Jackson was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.