Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Leann Lackey

Individual provider Acute Care Nurse Practitioner · NPI 1104683846

Jennifer Leann Lackey is a Nurse Practitioner in Birmingham, Alabama. Qualified in 2022, 4 years ago. Practices with University of Alabama Health Services Foundation, PC, a 2,759-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
4
Licensed in
AL
In the registry since
2024
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Practice location Address checks out

1802 6th Ave S
Birmingham, AL 35233-1932
Phone: (205) 934-3411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1-148486 (AL)

Record details

NPI number1104683846
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 29, 2024
Last updated in NPPESApril 10, 2024
Certification dateApril 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Of Alabama Health Services Foundation, Pc — 2759 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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