Jaleesa Jackson

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

228 Selma Ave
Selma, AL 36701-5825

Phone

(334) 877-1490

Fax

(334) 877-1491

NPI assigned

Dec 18, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1265070445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PARK PL",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016764",
            "telephone_number": "334-407-1946",
            "fax_number": "334-874-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 SELMA AVE",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367015825",
            "telephone_number": "334-877-1490",
            "fax_number": "334-877-1491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1502 US Highway 80 E Unit A",
            "address_purpose": "LOCATION",
            "city": "Demopolis",
            "state": "AL",
            "postal_code": "367323921",
            "country_code": "US",
            "telephone_number": "334-289-1193",
            "fax_number": "334-289-1196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "867 County Road 59",
            "address_purpose": "LOCATION",
            "city": "Pine Apple",
            "state": "AL",
            "postal_code": "367683525",
            "country_code": "US",
            "telephone_number": "251-746-2197",
            "fax_number": "251-746-2467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 Washington St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "AL",
            "postal_code": "367563218",
            "country_code": "US",
            "telephone_number": "334-683-2073",
            "fax_number": "334-683-2077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3040 S Alabama Ave",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "AL",
            "postal_code": "364605600",
            "country_code": "US",
            "telephone_number": "251-302-2526",
            "fax_number": "251-302-2529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Main St",
            "address_purpose": "LOCATION",
            "city": "Thomaston",
            "state": "AL",
            "postal_code": "367833137",
            "country_code": "US",
            "telephone_number": "334-627-3497",
            "fax_number": "334-627-3501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Old Hamburg Rd",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "AL",
            "postal_code": "367862614",
            "country_code": "US",
            "telephone_number": "334-628-2651",
            "fax_number": "334-628-2656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2210 Highway 221",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "AL",
            "postal_code": "367264233",
            "country_code": "US",
            "telephone_number": "334-682-5772",
            "fax_number": "334-682-5792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JALEESA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Hurt
• Integrity Emergency Care, Inc.
• Interlink Apothecary
• Iqbal I Singh, MD, PC
• Irc-Scionhealth Selma LLC
• Jericho Family Counseling LLC
• Jerry Dillard MD
• Sankung Jobarteh, PHARM.D
• Richard Keith Johnson, MD
• Joint Adjust

• Health Educator in Selma, AL
• Providers in Selma, AL by specialty
• Health Educator in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.