JACKSON CENTER NPI 1912645623

NPI Information

  • NPI: 1912645623
  • Provider Name: JACKSON CENTER
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Doing Business As: THE JACKSON CENTER FOR MENTAL WELLNESS
  • Address: 198 NARROWS DR STE 105
    BIRMINGHAM, AL
    ZIP 35242
  • Phone: (901) 647-8291

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NPI Details

JACKSON CENTER is a psychiatric/mental health nurse practitioner in Birmingham, AL. JACKSON CENTER NPI is 1912645623. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Jackson Center For Mental Wellness.

The provider's business location address is:

198 NARROWS DR STE 105
BIRMINGHAM, AL
ZIP 35242-663
Phone: (901) 647-8291

The provider's authorized official is Ben Harrell .
The authorized official title is Member and has the following contact phone number (901) 647-8291.

The enumeration date for this NPI number is 5/23/2022 and was last updated on 12/13/2022.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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