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General NPI Number Information
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NPI Number | 1619892791
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Entity Type | Individual
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Provider Name | JASHELLE L NIXON
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Gender | Female
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 2902 7TH ST
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City | TUSCALOOSA
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State | AL
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Zip | 35401-1810
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Country | US
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Telephone | 205-210-9050
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Fax |
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Provider Business Mailing Address
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Address Line | 933 WINDSOR CT
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City | ALABASTER
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State | AL
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Zip | 35007-4150
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Country | US
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Telephone | 205-240-2127
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 7178G
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License Number State | AL
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