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State of Alabama Department of Public Health

NPI #1376851162 in Luverne, Alabama

Provider Information

NPI Number
1376851162
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 - Family
Enumeration Date
Sep 15, 2010
Last Updated
Sep 15, 2010

Practice Location

Address
15 HOSPITAL RD.
Address 2
CRENSHAW CO. HEALTH DEPT
City
Luverne
State
Alabama
ZIP Code
36049
Phone
(334) 335-2471

Authorized Official

Name
DAJUNA LYNN TATOM, CRNP
Title
NURSE PRACTITIONER
Phone
(334) 335-2471

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Family — Family

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