IndividualActive
Joni Jackson
NPI 1124981824 · Prosthetic/Orthotic Supplier · Montgomery, AL
Provider details
- NPI number
- 1124981824
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Practice location
6138 Atlanta Hwy
Montgomery, AL 36117-2800
Phone: (334) 273-9464
Approximate (ZIP-level) locationGet directions
Mailing address
1540 Winona Ave
Montgomery, AL 36107-1432
Registry dates
- Enumerated
- 2025-12-08
- Last updated
- 2025-12-08
- Certified
- 2025-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.