| Vickie Lynne Jackson, | |
|
29495 Copperhead Ln, Elkmont, AL 35620-5931 | |
| (256) 732-4452 | |
| (256) 732-4430 |
| Full Name | Vickie Lynne Jackson |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Addiction (substance Use Disorder) |
| Location | 29495 Copperhead Ln, Elkmont, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942699566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WA0400X | Registered Nurse - Addiction (substance Use Disorder) | 1-067105 (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Vickie Lynne Jackson, 29495 Copperhead Ln, Elkmont, AL 35620-5931 Ph: (256) 732-4452 | Vickie Lynne Jackson, 29495 Copperhead Ln, Elkmont, AL 35620-5931 Ph: (256) 732-4452 |
Dr. Rachel Rolin Mullins, DNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 27842 Shelton Rd E, Elkmont, AL 35620 Phone: 256-278-6747 | |
Bradley Lamar Kirby, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 29495 Copperhead Lane, Elkmont, AL 35620 Phone: 256-732-4452 Fax: 256-732-4430 |