State of Alabama Department of Public Health

NPI #1275842130 in Phenix City, Alabama

Provider Information

NPI Number
1275842130
Entity Type
Organization
Organization Name
State of Alabama Department of Public Health
Subpart
Yes (part of a larger organization)
Parent Organization
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
Primary Specialty
Nurse Practitioner - Women's Health
Enumeration Date
Sep 27, 2010
Last Updated
Sep 27, 2010

Practice Location

Address
1850 CRAWFORD RD
State
Alabama
ZIP Code
36867-0548
Phone
(334) 297-0251

Authorized Official

Name
JANICE R. MCINNIS, C.R.N.P.
Title
NURSE PRACTITIONER
Phone
(334) 297-0251

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Women's HealthWomen's Health

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