Search › Alabama › 374U00000X
Chad Jackson
NPI 1255706438 · on the registry since 2015
Practice
- Address
- 2021 40th Ave
Tuscaloosa, AL 35401 - Phone
- (205) 523-7429
- Organisation at this address
- Beatitudes Assisted Living Services
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Also registered as
- 372500000X
372600000X
3747P1801X
376K00000X - Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-12-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama