Susie Bernice Jackson
Susie Bernice Jackson is a Home Health Aide in Deatsville, Alabama. Licensed in Alabama. Registered with an NPI since 2020.
- Licensed in
- AL
- In the registry since
- 2020
Practice location Address checks out
41 Copper Ridge CtDeatsville, AL 36022-3242
Phone: (334) 290-8131
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X · Licence 3251 (AL) |
|---|
Record details
| NPI number | 1194350579 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 6, 2020 |
| Last updated in NPPES | March 6, 2020 |
| Certification date | March 6, 2020 |
| Mailing address | 41 Copper Ridge Ct, Deatsville, AL 36022-3242 |