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Individual
JENNIFER MICHELLE DURHAM
Active
Individual
JENNIFER MICHELLE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
1-076553
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-076553
AL
Other
Enumeration date
01/12/2010
Last updated
06/11/2013
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