# JEFFERSON COUNTY BOARD OF HEALTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1376603050
- **Authorized official:** SHEWANDA CLARK (REVENUE INTEGRITY SUPERVISOR)
- **Authorized official phone:** (205) 558-2158

## Contact information

- **Practice address:** 631 BESSEMER SUPER HWY, MIDFIELD, AL 35228
- **Practice address phone:** (205) 715-6121
- **Practice address fax:** (205) 241-5260
- **Mailing address:** PO BOX 2648, BIRMINGHAM, AL 35202-2648
- **Mailing address phone:** (205) 715-6121
- **Mailing address fax:** (205) 241-5260

## Taxonomy

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

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 02/12/2019