MR. Jason Richard, CRNP
NPI #1770966202 in Enterprise, Alabama
Provider Information
- NPI Number
- 1770966202
- Entity Type
- Individual
- Name
- MR. Jason Richard, CRNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- CRNP
- Enumeration Date
- Jul 1, 2015
- Last Updated
- Jul 1, 2015
Practice Location
- Address
- 805 E LEE ST
- City
- Enterprise
- State
- Alabama
- ZIP Code
- 36330-2368
- Phone
- (334) 348-8818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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