MRS. PAMELA DEAN REAVES JACKSON CRNP NPI 1386191112

NPI Information

NPI: 1386191112
Provider Name: MRS. PAMELA DEAN REAVES JACKSON, CRNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
1131 LEIGHTON AVE
ANNISTON, AL
ZIP 36207
Phone: (256) 237-0025
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MRS. Pamela Dean Reaves Jackson, CRNP is an acute care nurse practitioner in Anniston, AL. MRS. Pamela Dean Reaves Jackson, CRNP NPI is 1386191112. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1131 LEIGHTON AVE
ANNISTON, AL
ZIP 36207-610
Phone: (256) 237-0025

The enumeration date for this NPI number is 9/9/2016 and was last updated on 9/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	1-054775	ALABAMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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