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

Vivian Elizabeth Jackson

Individual provider Nurse Practitioner · NPI 1336756600

Vivian Elizabeth Jackson is a Nurse Practitioner in Birmingham, Alabama. Licensed in Alabama. Registered with an NPI since 2020.

Licensed in
AL
In the registry since
2020

Practice location Address checks out

1216 25th St N
Birmingham, AL 35234-3139
Phone: (205) 252-2994
Fax: (205) 254-6076
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1-062778 (AL)

Record details

NPI number1336756600
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 30, 2020
Last updated in NPPESSeptember 30, 2020
Certification dateSeptember 30, 2020

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