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Individual

JANA MARIE BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
6459 HIGHWAY 72, KILLEN, AL 35645-8258
(256) 272-0275
Mailing address
PO BOX 70, KILLEN, AL 35645-0070
(256) 272-0275
(256) 272-0277

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-113271
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
511-89137
BLUE CROSS
AL
Enumeration date
02/02/2017
Last updated
03/14/2025
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