# JEFFERSON COUNTY BOARD OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jefferson County Health Dept Eastern Nurse Practitioner
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306907472
- **Authorized official:** SHEWANDA CLARK (REVENUE INTEGRITY SUPERVISOR)
- **Authorized official phone:** (205) 558-2158

## Contact information

- **Practice address:** 601 WEST BLVD, BIRMINGHAM, AL 35206
- **Practice address phone:** (205) 591-5180
- **Practice address fax:** (205) 592-2406
- **Mailing address:** PO BOX 2648, BIRMINGHAM, AL 35202-2648
- **Mailing address phone:** (205) 591-5180
- **Mailing address fax:** (205) 592-2406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 02/12/2019