NPI 1013240274 REKITA JACKSON ALC OPELIKA AL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Rekita Jackson - NPI: 1013240274

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: REKITA JACKSON
NPI Number: 1013240274
Entity Type Code: Individual (1)
Gender: F
Credentials: ALC
License Number: C1328A
Business Practice Address: 3170 Martin Luther King Jr Pkwy S
Phenix City, AL - 368698405
Business Phone Number: 3342982405
Business Fax Number:
Mailing Address: 2506 Lambert Dr,
OPELIKA
State: AL
Postal Code: 368017237
Phone Number: 3347422700
Fax Number: 3347422840
NPI Enumeration Date: 09/04/2009
NPI Last Update Date: 09/04/2009
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YP2500X
License Number: C1328A
Healthcare Provider Taxonomy:
(Secondary)
Y
State: AL
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Professional
Taxonomy Definition:


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