Individual
JEREMY WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-1000
Mailing address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-123241
AL
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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